Active NPI
Kimberly Riggs Ruiz, DDS
- General Practice Dentistry
- Lawrenceburg, TN
National Provider Identifier
1316019896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 8373
- Practice address
- 234 E Gaines St
Lawrenceburg, TN 38464 - Phone
- (931) 762-5525
- Fax
- (931) 762-5546
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 8373 | TN | Primary |
Addresses
Primary practice location
234 E Gaines St
Lawrenceburg, TN 38464
Mailing address
PO Box 127
Lawrenceburg, TN 38464
Phone (931) 762-5525
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5440293 | Medicaid | TN | |
| 1519982 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8373 | TN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John T. Will, D.D.S. | General Practice | Past | Accepting new patients |
| A (Plus) Dental Associates, Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Practice Dentistry
- Lawrenceburg, TN
- NPI 1255564340
-
- General Practice Dentistry
- Lawrenceburg, TN
- NPI 1548558943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395705600000",
"number": "1316019896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 127",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "38464",
"telephone_number": "931-762-5525",
"fax_number": "931-762-5546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 E GAINES ST",
"city": "LAWRENCEBURG",
"state": "TN",
"postal_code": "38464",
"telephone_number": "931-762-5525",
"fax_number": "931-762-5546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "KIMBERLY",
"middle_name": "RIGGS",
"name_prefix": "Mrs.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2014-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "8373",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5440293",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1519982",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawrenceburg, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.