Individual provider Active NPI

Joshua Rubisch, DMD

  • General Practice Dentistry
  • Lenoir, NC
National Provider Identifier
1275056640
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
10799 Issued in NC
Practice address
505 Realty St SW
Lenoir, NC 28645-5567
Phone
(828) 754-2600
NPI assigned
Jul 18, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 10799 NC Primary

Addresses

Primary practice location

505 Realty St SW
Lenoir, NC 28645-5567

Mailing address

2953 N Oxford St
Claremont, NC 28610-9661
Phone (828) 459-1400

Other practice location 1

2953 N Oxford St
Claremont, NC 28610-9661
Phone (828) 459-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20210628003583 AR Order and Referring Only - DentistPractitioner - Dentist 5496156481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10799NCMDGeneral Practice Dentistry
4320ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Dental Corporation General Practice Current Accepting new patients

Organizations & group practices 1

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": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1275056640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2953 N OXFORD ST",
            "city": "CLAREMONT",
            "state": "NC",
            "postal_code": "286109661",
            "telephone_number": "828-459-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 REALTY ST SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455567",
            "telephone_number": "828-754-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2953 N Oxford St",
            "address_purpose": "LOCATION",
            "city": "Claremont",
            "state": "NC",
            "postal_code": "286109661",
            "country_code": "US",
            "telephone_number": "828-459-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBISCH",
        "first_name": "JOSHUA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "10799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.