Ruben Mora DDS, PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

RUBEN MORA DDS, PC

Practice address

2130 4TH Ave
San Diego, CA 92101-2110

Phone

(619) 298-9383

NPI assigned

Oct 20, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Ruben E Mora, DDS

Title

Owner/President

Phone

(210) 326-3926

Specialties & licenses 1

Addresses

Other names 1

• Fourth & Floss Doing business as

Tax ID family

Fourth Floss2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Ruben Mora DDS PC

  • General Practice Dentistry
  • La Mesa, CA
  • NPI 1134042492
  NPD tax ID

Locations

Practitioners 2

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

• Scott Rauvola, D.D.S.

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1275634834
  NPD (past)
• Grant Simpson, DMD

  • General Practice Dentistry
  • San Diego, CA
  • NPI 1942756101
  NPD (past)

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760918400000",
    "number": "1306713862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15481 TANNER RIDGE RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2130 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012110",
            "telephone_number": "619-298-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBEN MORA DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "210-326-3926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fourth & Floss",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ilvia Rubalcava
• Jazmin Rubalcava
• Rubanenko Chiropractic Corp
• Dalya Taube Rubanenko, DC
• Leslie A Rubba, CRNA
• Elisa Ruben, LMFT
• Ann Rubenstein, MSW
• Kelly Rubenstein, R.D.
• Stuart I Rubenstein, MD
• Tamara T. Rubenzik, M.D.

• Dentist in San Diego, CA
• Providers in San Diego, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2025; 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.