Ramon Ruvalcaba Jr., DDS

Primary specialty

DentistTaxonomy code 122300000X

License

TX13685 Issued in TX

Practice address

2517 S Buckner Blvd
Dallas, TX 75227-8501

Phone

(214) 275-0172

Fax

(214) 275-8523

NPI assigned

Jan 23, 2007

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 TX

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.

• Ramon Ruvalcaba Jr. DDS

  • Dentist
  • Dallas, TX
  • NPI 1942300181
  NPD (past) Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1407901416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2517 S BUCKNER BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752278501",
            "telephone_number": "214-275-0172",
            "fax_number": "214-275-8523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2517 S BUCKNER BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752278501",
            "telephone_number": "214-275-0172",
            "fax_number": "214-275-8523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUVALCABA",
        "first_name": "RAMON",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "TX13685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1942300181",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl Rutledge
• Dana Rutledge
• Michaela Elizabeth Rutledge, PA-C
• Alexandra Ruvalcaba
• Patricio Ruvalcaba, DPT
• Alyson Jane Ruvio
• Kelly Susan Ruxer, CRNA
• Samir Ruxmohan, DO
• Pamela Ivette Ruz, OTR/L, MOT
• RWB Consultants LLC

• Dentist in Dallas, TX
• Providers in Dallas, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.