Ruby F Mirza, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12232 Issued in MD

Practice address

11042 Nicholas LN
Suite B101
Ocean Pines, MD 21811-3299

Phone

(410) 208-9009

Fax

(410) 208-9019

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326133265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11042 NICHOLAS LN",
            "address_2": "SUITE B101",
            "city": "OCEAN PINES",
            "state": "MD",
            "postal_code": "218113299",
            "telephone_number": "410-208-9009",
            "fax_number": "410-208-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11042 NICHOLAS LN",
            "address_2": "SUITE B101",
            "city": "OCEAN PINES",
            "state": "MD",
            "postal_code": "218113299",
            "telephone_number": "410-208-9009",
            "fax_number": "410-208-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "RUBY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "12232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Michael Gardner, MPT, OCS
• Donna Marie Ignelzi-Ferraro, PHD
• Lindsey Kelly
• Krzysztof Robert Krajewski, DPT
• Patricia Katherine McDermott, RD, LDN
• Lucy M Mohr, C.PED
• Adrienne Naleppa, NCC
• Ocean City Foot & Ankle P a
• Peter J Cuesta, DPM, PA
• Deneen Dee Rayne, CAADC/LGPC

• General Practice Dentistry in Ocean Pines, MD
• Providers in Ocean Pines, MD by specialty
• General Practice Dentistry in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.