Denis G. Rubal, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30-01-4328 Issued in OH

Practice address

401 South St.
BLDG 4a
Chardon, OH 44024-2819

Phone

(440) 286-9011

Fax

(440) 286-3874

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588738843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SOUTH ST.",
            "address_2": "BLDG. 4A",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440242819",
            "telephone_number": "440-286-9011",
            "fax_number": "440-286-3874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 SOUTH ST.",
            "address_2": "BLDG 4A",
            "city": "CHARDON",
            "state": "OH",
            "postal_code": "440242819",
            "telephone_number": "440-286-9011",
            "fax_number": "440-286-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBAL",
        "first_name": "DENIS",
        "middle_name": "G.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-01-4328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Roth, LPCC-S
• Katelyn M Rotuno
• William Rowane
• Kimberly K. Rowe, CNP
• Judith Kay Rozic, M.P.T.
• Joshua Mark Rubin
• Alisa D Ruff, PC
• Haley Rupert, PA-C
• Taylor Russo
• Trenton Edward Rust, DPM

• General Practice Dentistry in Chardon, OH
• Providers in Chardon, OH by specialty
• General Practice Dentistry in Ohio

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.