Organization Active NPI

John and Sandra Ruocco DDS PA

  • General Practice Dentistry
  • Waxhaw, NC
National Provider Identifier
1164571550
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7738 Issued in NC
Legal business name
JOHN AND SANDRA RUOCCO DDS PA
Practice address
8418 Newtown Rd
Waxhaw, NC 28173-8302
Phone
(704) 843-2880
Fax
(704) 843-1652
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John Frank Ruocco, DDS
Title
President DDS
Phone
(704) 843-2880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 7738 NC Primary

Addresses

Primary practice location

8418 Newtown Rd
Waxhaw, NC 28173-8302

Mailing address

8418 Newtown Rd
Waxhaw, NC 28173-8302
Phone (704) 843-2880

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164571550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8418 NEWTOWN RD",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281738302",
            "telephone_number": "704-843-2880",
            "fax_number": "704-843-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8418 NEWTOWN RD",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281738302",
            "telephone_number": "704-843-2880",
            "fax_number": "704-843-1652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN AND SANDRA RUOCCO DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUOCCO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "PRESIDENT DDS",
        "authorized_official_telephone_number": "704-843-2880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waxhaw, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.