Brian Abelardo Ruiz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DGD.10203 Issued in SC

Practice address

702 Hopewell CT
Mt Pleasant, SC 29464-3571

Phone

(843) 416-9053

NPI assigned

May 10, 2022

Last updated

Oct 26, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michael Jimenez DDS LLC

  • General Practice Dentistry
  • Lexington, SC
  • NPI 1831741396
  NPD (past)

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729900800000",
    "number": "1235875550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 DAVID GREEN RD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294669177",
            "telephone_number": "757-621-3750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 HOPEWELL CT",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643571",
            "telephone_number": "843-416-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "BRIAN",
        "middle_name": "ABELARDO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-10",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "DGD.10203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Clark Royer, DNP, PMHNP-BC
• RSF Mt Pleasant Hospital
• Ruby's Academy LLC
• Kennedy Marie Ruckh, PA-C
• Melissa Valentine Ruge, BCBA
• Katherine Ruiz, PA-C
• Samantha Runyon, LMFT-A
• Danielle Marie Russell, BS
• Dowse D. Rustin, M.D.
• Mark Rutledge, PT

• General Practice Dentistry in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2024; 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.