Individual provider Active NPI

Kenneth Eugene Ruff, RCES, RCIS

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Hattieville, AR
National Provider Identifier
1447918305
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
11966 Issued in AR
Practice address
207 Kaufman LN
Hattieville, AR 72063-8918
Phone
(870) 718-2566
NPI assigned
Dec 7, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 11966 AR Primary

Addresses

Primary practice location

207 Kaufman LN
Hattieville, AR 72063-8918

Mailing address

207 Kaufman LN
Hattieville, AR 72063-8918

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
11966ARMDPortable X-ray and/or Other Portable Diagnostic Imaging Supplier

Practice roles

OrganizationSpecialtyStatusNew patients
Foothill Diagnostic Portable X-Ray and/Or Other Portable Diagnostic Imaging Supplier CurrentSince Dec 12, 2021 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1447918305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 KAUFMAN LN",
            "city": "HATTIEVILLE",
            "state": "AR",
            "postal_code": "720638918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 KAUFMAN LN",
            "city": "HATTIEVILLE",
            "state": "AR",
            "postal_code": "720638918",
            "telephone_number": "870-718-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFF",
        "first_name": "KENNETH",
        "middle_name": "EUGENE",
        "credential": "RCES, RCIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "AR",
            "license": "11966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattieville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.