Organization Active NPI

Ruopp and Ruopp DDS PC

  • General Practice Dentistry
  • Cape Girardeau, MO
National Provider Identifier
1194874263
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
012544 Issued in MO
Legal business name
RUOPP AND RUOPP DDS PC
Practice address
1818 Broadway St
Cape Girardeau, MO 63701-4508
Phone
(573) 334-8884
Fax
(573) 334-7656
NPI assigned
Jan 9, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Patrick Ruopp, DDSNPI 1790995579
Title
Co Owner
Phone
(573) 334-8884

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 012544 MO Primary

Addresses

Primary practice location

1818 Broadway St
Cape Girardeau, MO 63701-4508

Mailing address

1818 Broadway St
Cape Girardeau, MO 63701-4508
Phone (573) 334-8884

Other identifiers 2

IdentifierTypeStateIssuer
2015OtherBLUE CROSS BLUE SHIELD
838019OtherUNITED CONCORDIA

National Provider Directory

National Provider Directory

Locations

1818 Broadway St
Cape Girardeau, MO 63701
Phone (573) 334-8884

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1194874263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 BROADWAY ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014508",
            "telephone_number": "573-334-8884",
            "fax_number": "573-334-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 BROADWAY ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014508",
            "telephone_number": "573-334-8884",
            "fax_number": "573-334-7656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUOPP AND RUOPP DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUOPP",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "573-334-8884",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "012544",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "2015",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "838019",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

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.