Geraldine Enriqueta Ruiz, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

62249 Issued in CA

Practice address

1122 E Lincoln Ave Ste 212
Orange, CA 92865-1962

Phone

(714) 497-2747

Fax

(657) 999-0599

NPI assigned

May 29, 2013

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ruiz Dental Corporation

  • Pediatric Dentistry
  • Orange, CA
  • NPI 1679925390
  NPD (past) Authorized official

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

{
    "created_epoch": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1598102790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 E LINCOLN AVE STE 212",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651962",
            "telephone_number": "714-417-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 E LINCOLN AVE STE 212",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651962",
            "telephone_number": "714-497-2747",
            "fax_number": "657-999-0599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "GERALDINE",
        "middle_name": "ENRIQUETA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "62249",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "62249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Ruiz
• Christian Jacobo Ruiz, MD
• Crystal Ruiz
• David Ruiz
• Evelyn Ruiz
• Giselle Ruiz
• Janine Ruiz, CNM, WHNP, MSN
• Jasmine S Ruiz
• Jisel Ruiz
• Juan Ruiz, MA

• Pediatric Dentistry in Orange, CA
• Providers in Orange, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.