Peter A. Rubis, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10678 Issued in MO

Practice address

8938 Saint Charles Rock Rd
Saint Louis, MO 63114-4238

Phone

(314) 427-1400

Fax

(314) 427-1407

NPI assigned

Jan 2, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1427115054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 SPECKLEDWOOD MANOR CT",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172489",
            "telephone_number": "636-537-9508",
            "fax_number": "636-537-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8938 SAINT CHARLES ROCK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631144238",
            "telephone_number": "314-427-1400",
            "fax_number": "314-427-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIS",
        "first_name": "PETER",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "10678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha J Rubinelli
• Cameron Francis Rubino, MD
• Rochelle Rubinstein, MD
• Myra L Rubio, MD
• Rubis Dental
• Scott Anthony Rubis, DMD
• Christina M Ruby-Ziegler, MD
• Michelle Rene' Ruby, SLP
• Jessica Moore Ruck, MD
• Meredith Lynn Ruck, MS, ATC

• General Practice Dentistry in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• General Practice Dentistry in Missouri

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.