Active NPI
Dean a. Ruble DO, PLC
- Internal Medicine Physician
- Grand Rapids, MI
National Provider Identifier
1376794339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5101013173
- Legal business name
- DEAN A. RUBLE DO, PLC
- Practice address
- 435 Cherry St SE
Grand Rapids, MI 49503-4672 - Phone
- (616) 233-9986
- Fax
- (616) 233-9987
- NPI assigned
- Oct 8, 2008
- 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
- Dean A Ruble, DO
- Title
- Owner
- Phone
- (616) 233-9986
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101013173 | MI | Primary |
Addresses
Primary practice location
435 Cherry St SE
Grand Rapids, MI 49503-4672
Mailing address
435 Cherry St SE
Grand Rapids, MI 49503-4672
Phone (616) 233-9986
National Provider Directory
National Provider DirectoryLocations
435 Cherry St SE
Grand Rapids, MI 49503
Phone (616) 233-9986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223424000000",
"number": "1376794339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 CHERRY ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034672",
"telephone_number": "616-233-9986",
"fax_number": "616-233-9987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 CHERRY ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495034672",
"telephone_number": "616-233-9986",
"fax_number": "616-233-9987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEAN A. RUBLE DO, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-08",
"last_updated": "2008-10-08",
"status": "A",
"authorized_official_last_name": "RUBLE",
"authorized_official_first_name": "DEAN",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "616-233-9986",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101013173",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.