Individual provider Active NPI

Steven Kurt Rubisch, D.D.S.

  • General Practice Dentistry
  • Yuma, AZ
National Provider Identifier
1225178288
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
D3139 Issued in AZ
Practice address
1460 S Avenue B
Yuma, AZ 85364-4332
Phone
(928) 344-3067
Fax
(928) 782-2323
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X D3139 AZ Primary

Addresses

Primary practice location

1460 S Avenue B
Yuma, AZ 85364-4332

Mailing address

4170 W 16TH PL
Yuma, AZ 85364-3479
Phone (928) 329-9885

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
D3139AZMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Avenue B Dentistry LLC PastSince Mar 20, 2022 Accepting new patients
Steven K. Rubisch, DDS, PC General Practice Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225178288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 W 16TH PL",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853643479",
            "telephone_number": "928-329-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 S AVENUE B",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644332",
            "telephone_number": "928-344-3067",
            "fax_number": "928-782-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBISCH",
        "first_name": "STEVEN",
        "middle_name": "KURT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D3139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.