Individual provider Active NPI

Erick Yglesias Ruiz, DDS

  • General Practice Dentistry
  • Belleair Bluffs, FL
National Provider Identifier
1427534239
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN23694 Issued in FL
Practice address
2715 W Bay Dr
Belleair Bluffs, FL 33770
Phone
(727) 683-0400
NPI assigned
Jul 15, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN23694 FL Primary

Addresses

Primary practice location

2715 W Bay Dr
Belleair Bluffs, FL 33770

Mailing address

8020 SW 152ND Ave Apt 302
Miami, FL 33193-1324
Phone (786) 246-7769

Other practice location 1

8020 SW 152nd Ave Apt 302
Miami, FL 33193-1324
Phone (786) 246-7769

Other practice location 2

1327 N Mills Ave
Orlando, FL 32803-2542
Phone (407) 228-1353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20181030000463 FL Order and Referring Only - DentistPractitioner - Dentist 0749533362

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN23694FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Afw Dental PA General Practice Current Accepting new patients
Eyr Dental Associates Corp Current Accepting new patients
Mills Park Dental General Practice Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539561600000",
    "number": "1427534239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8020 SW 152ND AVE APT 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331931324",
            "telephone_number": "786-246-7769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2715 W BAY DR",
            "city": "BELLEAIR BLUFFS",
            "state": "FL",
            "postal_code": "33770",
            "telephone_number": "727-683-0400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8020 SW 152nd Ave Apt 302",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331931324",
            "country_code": "US",
            "telephone_number": "786-246-7769",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1327 N Mills Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328032542",
            "country_code": "US",
            "telephone_number": "407-228-1353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YGLESIAS RUIZ",
        "first_name": "ERICK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-07-15",
        "last_updated": "2018-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN23694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleair Bluffs, FL

Sources for this page

Verify at the official NPI Registry.