Active NPI
Jack Forrest Ruffing Jr., DDS
- Dentist
- Houston, TX
National Provider Identifier
1407072994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 11125
- Practice address
- 9320 Westview
Suite 7
Houston, TX 77055-6414 - Phone
- (713) 932-8600
- Fax
- (713) 932-8600
- NPI assigned
- Apr 17, 2007
- Sex
- Male
- 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 | 11125 | TX | Primary |
Addresses
Primary practice location
9320 Westview
Suite 7
Houston, TX 77055-6414
Mailing address
9230 Norton Dr
Houston, TX 77080-2921
Phone (713) 462-4144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 30, 2014 through Dec 30, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11125 | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407072994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9230 NORTON DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770802921",
"telephone_number": "713-462-4144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9320 WESTVIEW",
"address_2": "SUITE 7",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770556414",
"telephone_number": "713-932-8600",
"fax_number": "713-932-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUFFING",
"first_name": "JACK",
"middle_name": "FORREST",
"name_suffix": "Jr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "11125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.