Active NPI
Lauren Rubino, DMD
- Dentist
- Park Ridge, IL
National Provider Identifier
1336879428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019033774
- Practice address
- 126 S Prospect Ave
Park Ridge, IL 60068-4035 - Phone
- (847) 825-1002
- NPI assigned
- Jun 13, 2022
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | 019033774 | IL | Primary |
Addresses
Primary practice location
126 S Prospect Ave
Park Ridge, IL 60068-4035
Mailing address
126 S Prospect Ave
Park Ridge, IL 60068-4035
Phone (847) 825-1002
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rubinodentistry@ameritech.net |
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 |
|---|---|---|---|
| 019033774 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655078400000",
"number": "1336879428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 S PROSPECT AVE",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684035",
"telephone_number": "847-825-1002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 S PROSPECT AVE",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684035",
"telephone_number": "847-825-1002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBINO",
"first_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-13",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019033774",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rubinodentistry@ameritech.net",
"affiliation": "N",
"address_1": "126 S Prospect Ave",
"city": "Park Ridge",
"state": "IL",
"country_code": "US",
"postal_code": "600684035",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.