Jefferey Edward Rubel, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7419 Issued in IA

Practice address

2575 Coral Court
Coralville, IA 52241

Phone

(319) 545-2345

Fax

(319) 545-2349

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Coral West Dental P.C.

  • General Practice Dentistry
  • Coralville, IA
  • NPI 1316030349
  NPD (past) Authorized official
• Coral West PC

  • General Practice Dentistry
  • Coralville, IA
  • NPI 1932981115
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371686400000",
    "number": "1376636373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 CORAL COURT",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "52241",
            "telephone_number": "319-545-2345",
            "fax_number": "319-545-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 CORAL COURT",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "52241",
            "telephone_number": "319-545-2345",
            "fax_number": "319-545-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBEL",
        "first_name": "JEFFEREY",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2013-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "7419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2285676",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathaniel Rosfjord, DPT
• Evelyn Jeannette Ross-Shapiro, MD
• Annika Faith Ross, L.I.S.W.
• Maura Rost
• Madyson Michelle Roth
• Michalyn Renee Ruby
• Ruck Enterprises, LLC
• Katharine Celia Ruestow
• Mahak Saad, MD
• Brooke Elizabeth Sachau, MA, LAT, ATC

• General Practice Dentistry in Coralville, IA
• Providers in Coralville, IA by specialty
• General Practice Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.