NPIMap

Organization Active NPI

Miranda L. Ruleford Family Dentistry

  • Dentist
  • Okmulgee, OK
National Provider Identifier
1235548157
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5880 Issued in OK
Legal business name
MIRANDA L. RULEFORD FAMILY DENTISTRY
Practice address
500 E 8TH St
Okmulgee, OK 74447
Phone
(918) 756-9595
Fax
(918) 756-7781
NPI assigned
Aug 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Ms. Miranda Louisa Ruleford, DDSNPI 1477574051
Title
Owner
Phone
(918) 756-9595

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5880 OK Primary

Addresses

Primary practice location

500 E 8TH St
Okmulgee, OK 74447

Mailing address

500 E 8TH St
Okmulgee, OK 74447
Phone (918) 756-9595

Other identifiers 2

IdentifierTypeStateIssuer
1558475392MedicaidOK
1366484438MedicaidOK

National Provider Directory

National Provider Directory

Locations

500 E 8th St
Okmulgee, OK 74447
Phone (918) 756-4933

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1235548157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E 8TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "74447",
            "telephone_number": "918-756-9595",
            "fax_number": "918-756-7781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 8TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "74447",
            "telephone_number": "918-756-9595",
            "fax_number": "918-756-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRANDA L. RULEFORD FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "RULEFORD",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "LOUISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-756-9595",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "OK",
            "license": "5880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558475392",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366484438",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okmulgee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.