Organization Active NPI

Mynsberge, Ruggles & Yang Oral Surgery, P.C.

Doing business as Mynsberge, Ruggles, and Yang Oral Surgery

  • Oral and Maxillofacial Surgery (Dentist)
  • Greenbrae, CA
National Provider Identifier
1205624657
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
MYNSBERGE, RUGGLES & YANG ORAL SURGERY, P.C.
Doing business as
Mynsberge, Ruggles, and Yang Oral Surgery
Practice address
1331 S Eliseo Dr Ste 1
Greenbrae, CA 94904-2010
Phone
(415) 461-1150
Fax
(415) 461-1150
NPI assigned
Apr 28, 2025
Last updated
Aug 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Mr. Matthew Mynsberge, D.D.S.NPI 1194953992
Title
President
Phone
(415) 461-1150

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
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

1331 S Eliseo Dr Ste 1
Greenbrae, CA 94904-2010

Mailing address

1331 S Eliseo Dr Ste 1
Greenbrae, CA 94904-2010
Phone (415) 461-1150

Other names 2

  • Mynsberge, Ruggles, and Yang Oral Surgery Doing business as
  • Matthew Mynsberge, DDS Inc & Mathew Ruggles, DDS Inc, A Partnership Former legal business name

National Provider Directory

National Provider Directory

Locations

1331 S Eliseo Dr
Ste 1
Greenbrae, CA 94904
Phone (415) 461-1150

Practitioners & affiliated clinicians

Practitioners 1

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": "1745798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1205624657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 S ELISEO DR STE 1",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042010",
            "telephone_number": "415-461-1150",
            "fax_number": "415-461-1150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 S ELISEO DR STE 1",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042010",
            "telephone_number": "415-461-1150",
            "fax_number": "415-461-1150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYNSBERGE, RUGGLES & YANG ORAL SURGERY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-08-13",
        "certification_date": "2025-04-27",
        "status": "A",
        "authorized_official_last_name": "MYNSBERGE",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-461-1150",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mynsberge, Ruggles, and Yang Oral Surgery",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Matthew Mynsberge, DDS Inc & Mathew Ruggles, DDS Inc, A Partnership",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Greenbrae, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.