Individual provider Active NPI

Julian Ruiz Rodriguez, DDS

  • General Practice Dentistry
  • Hialeah, FL
National Provider Identifier
1447619820
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN22962 Issued in FL
Practice address
18111 NW 68TH Ave Apt I204
Hialeah, FL 33015-3956
Phone
(786) 278-0058
NPI assigned
Feb 15, 2016
Last updated
Jan 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 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 DN22962 FL Primary

Addresses

Primary practice location

18111 NW 68TH Ave Apt I204
Hialeah, FL 33015-3956

Mailing address

18111 NW 68TH Ave Apt I204
Hialeah, FL 33015-3956
Phone (786) 278-0058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN22962FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Cosmetic Smiles by Design Corp General Practice Current Accepting new patients

Organizations & group practices 1

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": "1455494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515715200000",
    "number": "1447619820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18111 NW 68TH AVE APT I204",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153956",
            "telephone_number": "786-278-0058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18111 NW 68TH AVE APT I204",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330153956",
            "telephone_number": "786-278-0058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ RODRIGUEZ",
        "first_name": "JULIAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-15",
        "last_updated": "2018-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.