Individual provider Active NPI

Robert Stephen Ruhl, DMD

  • General Practice Dentistry
  • Plainfield, VT
National Provider Identifier
1235197203
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
775 Issued in VT
Practice address
157 Towne Ave
Plainfield, VT 05667-9425
Phone
(802) 454-8336
Fax
(802) 454-8339
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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 775 VT Primary

Addresses

Primary practice location

157 Towne Ave
Plainfield, VT 05667-9425

Mailing address

157 Towne Ave
Plainfield, VT 05667-9425
Phone (802) 454-8336

Other identifiers 1

IdentifierTypeStateIssuer
0002408MedicaidVT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250214000347 VT Practitioner - Dentist 2264738194 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
775VTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Robert S. Ruhl, DMD, PC General Practice CurrentSince Jan 2, 2014 Accepting new patients
Northeast Washington County Community Health Inc CurrentSince Feb 2, 2025 Accepting new patients
Northeast Washington County Community Health, Inc. CurrentSince Feb 2, 2025 Accepting new patients

Locations

157 Towne Ave
Plainfield, VT 05667
Phone (802) 322-6613

25 Coldbrook Rd
Wilmington, VT 05363
Phone (802) 464-5550

Organizations & group practices 3

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1235197203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 TOWNE AVE",
            "city": "PLAINFIELD",
            "state": "VT",
            "postal_code": "056679425",
            "telephone_number": "802-454-8336",
            "fax_number": "802-454-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 TOWNE AVE",
            "city": "PLAINFIELD",
            "state": "VT",
            "postal_code": "056679425",
            "telephone_number": "802-454-8336",
            "fax_number": "802-454-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUHL",
        "first_name": "ROBERT",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002408",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, VT

Sources for this page

Verify at the official NPI Registry.