Ross E Rubino, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

19015906 Issued in IL

Practice address

126 S Prospect Ave
Park Ridge, IL 60068-4035

Phone

(847) 825-1002

Fax

(847) 825-1003

NPI assigned

Apr 19, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548487754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S PROSPECT AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684035",
            "telephone_number": "847-825-1002",
            "fax_number": "847-825-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S PROSPECT AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684035",
            "telephone_number": "847-825-1002",
            "fax_number": "847-825-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINO",
        "first_name": "ROSS",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "19015906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DENTAL LICENSE",
            "identifier": "19015906",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jacob Rozynek
• Brian N Rubenstein, MD
• Ellen Rubin, APN
• Gabrielle Rubin, DO
• Lauren Rubino, DMD
• Wayne A. Rubinstein, M.D.
• Rachel Ruderman, MD, MPH
• John R Ruge, M.D.
• Yuliya Rukhlyada, M.D.
• John William Runne, DO

• General Practice Dentistry in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.