Active NPI
Albert Ruiz DDS Family & Cosmetic Dentistry LLC
- General Practice Dentistry
- Sebring, FL
National Provider Identifier
1356353098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN0012784
- Legal business name
- ALBERT RUIZ DDS FAMILY & COSMETIC DENTISTRY LLC
- Practice address
- 529 US Hwy 27 South
Sebring, FL 33870-2108 - Phone
- (863) 385-6200
- Fax
- (863) 386-0770
- NPI assigned
- Aug 12, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Albert Ruiz, DDS
- Title
- Owner
- Phone
- (863) 385-6200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN0012784 | FL | Primary |
Addresses
Primary practice location
529 US Hwy 27 South
Sebring, FL 33870-2108
Mailing address
529 US Hwy 27 South
Sebring, FL 33870-2108
Phone (863) 385-6200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 69077 | Other | FL | BCBS |
| 706644 | Other | FL | UNITED CONCORDIA |
National Provider Directory
National Provider DirectoryLocations
529 US Highway 27 S
Sebring, FL 33870
Phone (863) 385-6200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Sebring, FL
- NPI 1083901714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356353098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "529 US HWY 27 SOUTH",
"city": "SEBRING",
"state": "FL",
"postal_code": "338702108",
"telephone_number": "863-385-6200",
"fax_number": "863-386-0770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "529 US HWY 27 SOUTH",
"city": "SEBRING",
"state": "FL",
"postal_code": "338702108",
"telephone_number": "863-385-6200",
"fax_number": "863-386-0770"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALBERT RUIZ DDS FAMILY & COSMETIC DENTISTRY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RUIZ",
"authorized_official_first_name": "ALBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "863-385-6200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN0012784",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "69077",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "706644",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.