Kathleen Ann Ruffin, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

H6378 Issued in AZ

Practice address

2855 E. Brown Rd
Suite 15
Mesa, AZ 85213

Phone

(480) 807-2636

Fax

(480) 924-6452

NPI assigned

Jul 8, 2009

Last updated

Jul 13, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kathleen Ann Hicks Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247443200000",
    "number": "1568691863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 E. BROWN RD",
            "address_2": "SUITE 15",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85213",
            "telephone_number": "480-807-2636",
            "fax_number": "480-924-6452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 E. BROWN RD",
            "address_2": "SUITE 15",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85213",
            "telephone_number": "480-807-2636",
            "fax_number": "480-924-6452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFIN",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2009-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "AZ",
            "license": "H6378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "HICKS",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "RDH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ty Sanders Ruddell, DC
• Tom Richard Ruddy
• Lindsay M Ruder, PA-C
• Yasir Rudha, M.D.
• Melissa A Rudolph, PT, DPT
• Julie A Rugolo, LCSW
• Diana Melissa Ruhl
• Claudia Ruiz-Brandenburg
• Adrian A Ruiz, RN
• Cinthia Ruiz

• Dental Hygienist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Dental Hygienist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2009; 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.