Ivan Ruiz, ORTHOTIST

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

51 Issued in GA

Practice address

9690 Vantana Way
Johns Creek, GA 30022-6394

Phone

(404) 833-8737

Fax

(770) 751-0961

NPI assigned

Jul 22, 2007

Last updated

Oct 31, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Orthopaedic Specialties of Atlanta, Inc.

  dba Georgia Brace & Spine

  • Prosthetic/Orthotic Supplier
  • Alpharetta, GA
  • NPI 1528241791

  Orthotist

  NPD (past) Authorized official

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

{
    "created_epoch": "1185062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193788800000",
    "number": "1518167147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12460 CRABAPPLE RD",
            "address_2": "SUITE 202-336",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046602",
            "telephone_number": "404-833-8737",
            "fax_number": "770-751-0961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9690 VANTANA WAY",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300226394",
            "telephone_number": "404-833-8737",
            "fax_number": "770-751-0961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "IVAN",
        "name_prefix": "Mr.",
        "credential": "ORTHOTIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-22",
        "last_updated": "2007-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "GA",
            "license": "51",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana P. Rogers, PH.D.
• Seth Alan Rosen, MD
• Elisabeth Ann Ross, M. ED.
• Amanda Roth Briggs, PT, DPT
• Jasmine S Rowlett
• Mohsin Rupani, FNP, RN
• Tarannum Rupani, NP
• Haely Ryu
• Young-Kyu Ryu, D.C.
• Sandeep Raj Sabhlok, MD

• Orthotist in Johns Creek, GA
• Providers in Johns Creek, GA by specialty
• Orthotist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.