Kenneth Taylor Ruby, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10428 Issued in KY

Practice address

152 Parkers Mill Rd Unit a
Somerset, KY 42501-3150

Phone

(606) 678-0874

NPI assigned

May 4, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

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

{
    "created_epoch": "1588550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591315200000",
    "number": "1558982223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 LEWIS BROWN DR",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425039707",
            "telephone_number": "606-383-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 PARKERS MILL RD UNIT A",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013150",
            "telephone_number": "606-678-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBY",
        "first_name": "KENNETH",
        "middle_name": "TAYLOR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-04",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "10428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn-Dawn Marie Rowe, M.S. OTR/L
• Teresa Rowland
• Elizabeth Rowlands, LPCC
• Jonathan D. Ruby, M.D.
• Kenneth Eric Ruby, MD
• Amy Russell, LCSW
• Emilee Moore Russell, M.A., CF-SLP
• Rodney Gordon Russell Jr., PT, DPT, CERT. DN
• Shelby Brooke Russell, MS, OTR/L
• Theresa Lynn Rust, PCC-S, LSW, LICDC-CS

• General Practice Dentistry in Somerset, KY
• Providers in Somerset, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.