Active NPI
Norma Ruano, DDS
- Pediatric Dentistry
- Eagle Pass, TX
National Provider Identifier
1184725483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 14987
- Practice address
- 2525 N Veterans Blvd
Eagle Pass, TX 78852-3302 - Phone
- (830) 773-4557
- Fax
- (830) 773-0328
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 14987 | TX | |
| Pediatric Dentistry | 1223P0221X | 14987 | TX | Primary |
Addresses
Primary practice location
2525 N Veterans Blvd
Eagle Pass, TX 78852-3302
Mailing address
PO Box 1470
Eagle Pass, TX 78853-1470
Phone (830) 773-8917
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F0063772 | Other | TX | DPS |
| 120908208 | Medicaid | TX | |
| 14987 | Other | TX | TX STATE BOARD OF DENTAL EXAMINERS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Centers | Pediatric Dentistry | Current | Accepting new patients |
| Barrio Comprehensive Family Health Care Center, Inc. | Current | Accepting new patients | |
| Barrio Comprehensive Family Health Care Center, Inc. | Current | Accepting new patients | |
| United Medical Centers | Current | Accepting new patients |
Locations
2525 N Veterans Blvd
Eagle Pass, TX 78852
Phone (830) 773-5358
2810 Dacy Ln
Kyle, TX 78640
Phone (512) 268-8900
1102 Barclay St
San Antonio, TX 78207
Phone (210) 434-0513
3066 E Commerce St
San Antonio, TX 78220
Phone (210) 233-7062
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- San Antonio, TX
- NPI 1902883739
-
- Federally Qualified Health Center (FQHC)
- Eagle Pass, TX
- NPI 1710980669
Pediatric Dentistry
-
- Federally Qualified Health Center (FQHC)
- San Marcos, TX
- NPI 1295601052
-
- Federally Qualified Health Center (FQHC)
- Eagle Pass, TX
- NPI 1295525012
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1184725483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1470",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788531470",
"telephone_number": "830-773-8917",
"fax_number": "830-773-1892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 N VETERANS BLVD",
"city": "EAGLE PASS",
"state": "TX",
"postal_code": "788523302",
"telephone_number": "830-773-4557",
"fax_number": "830-773-0328"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUANO",
"first_name": "NORMA",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2023-03-07",
"certification_date": "2020-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "14987",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "TX",
"license": "14987",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPS",
"identifier": "F0063772",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120908208",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TX STATE BOARD OF DENTAL EXAMINERS LICENSE",
"identifier": "14987",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eagle Pass, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.