Individual provider Active NPI

Miranda L Ruleford, DDS

  • General Practice Dentistry
  • Okmulgee, OK
National Provider Identifier
1477574051
Registry record updated Feb 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5880 Issued in OK
Practice address
500 E 8TH St
Okmulgee, OK 74447-5503
Phone
(918) 756-9595
Fax
(918) 756-7781
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2022

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 5880 OK Primary

Addresses

Primary practice location

500 E 8TH St
Okmulgee, OK 74447-5503

Mailing address

500 E 8TH St
Okmulgee, OK 74447-5503
Phone (918) 756-9595

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

Practice roles

OrganizationSpecialtyStatusNew patients
Miranda L. Ruleford Family Dentistry CurrentSince Apr 24, 2022 Accepting new patients
Oklahoma Smiles Youth Dentistry, PLLC General Practice Past Accepting new patients
Jerry L. Thorman, DDS, Inc. PastSince Feb 13, 2022 Accepting new patients

Locations

500 E 8th St
Okmulgee, OK 74447
Phone (918) 756-4933

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1477574051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E 8TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744475503",
            "telephone_number": "918-756-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E 8TH ST",
            "city": "OKMULGEE",
            "state": "OK",
            "postal_code": "744475503",
            "telephone_number": "918-756-9595",
            "fax_number": "918-756-7781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RULEFORD",
        "first_name": "MIRANDA",
        "middle_name": "L",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OK",
            "license": "5880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Okmulgee, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.