Organization Active NPI

Dean a. Ruble DO, PLC

  • Internal Medicine Physician
  • Grand Rapids, MI
National Provider Identifier
1376794339
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101013173 Issued in MI
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

Updated by the provider on Oct 8, 2008

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.