Individual provider Active NPI

Jennifer Ann Ruble, DMD

  • General Practice Dentistry
  • Palm Beach Gardens, FL
National Provider Identifier
1588975197
Registry record updated Jan 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 18872 Issued in FL
Practice address
2401 Pga Blvd
Suite 276
Palm Beach Gardens, FL 33410-3590
Phone
(561) 624-5801
Fax
(561) 624-7976
NPI assigned
Jun 29, 2010
Last updated
Jan 21, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 18872 FL Primary

Addresses

Primary practice location

2401 Pga Blvd
Suite 276
Palm Beach Gardens, FL 33410-3590

Mailing address

2401 Pga Blvd
Suite 276
Palm Beach Gardens, FL 33410-3590
Phone (561) 624-5801

Other names 1

  • Dr. Jennifer Ann Williams Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN 18872FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453334400000",
    "number": "1588975197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 PGA BLVD",
            "address_2": "SUITE 276",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103590",
            "telephone_number": "561-624-5801",
            "fax_number": "561-624-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 PGA BLVD",
            "address_2": "SUITE 276",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334103590",
            "telephone_number": "561-624-5801",
            "fax_number": "561-624-7976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBLE",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2016-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 18872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "WILLIAMS",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palm Beach Gardens, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; 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.