Jose Ruiz DMD LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JOSE RUIZ DMD LLC

Practice address

3967 S Howell Ave
Milwaukee, WI 53207-4421

Phone

(414) 744-5800

Fax

(414) 744-6430

NPI assigned

Sep 24, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jose Luis Ruiz, DMDNPI 1649700451

Title

Owner/General Dentist

Phone

(414) 744-5800

Specialties & licenses 1

Addresses

Other names 1

• 414 Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jose Luis Ruiz, DMD

  • General Practice Dentistry
  • Milwaukee, WI
  • NPI 1649700451
  NPD Authorized official
• Timothy Depledge, D.D.S.

  • General Practice Dentistry
  • Milwaukee, WI
  • NPI 1891705323
  NPD (past)

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

{
    "created_epoch": "1727136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727136000000",
    "number": "1447077045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3967 S HOWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532074421",
            "telephone_number": "414-744-5800",
            "fax_number": "414-744-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3967 S HOWELL AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532074421",
            "telephone_number": "414-744-5800",
            "fax_number": "414-744-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE RUIZ DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "414-744-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "414 Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raphael Sherrod Jordan
• Regina R Jordan
• Shanel Marie Jordan
• Kristen Noelle Jordens, DPT
• Julie M Jorns, M.D.
• Joseph C. Battista MD SC
• Joseph P Regan MD SC
• Beena Joseph, MD
• Caroline E Joseph, PA
• David Benjamin Joseph, MD

• General Practice Dentistry in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; 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.