Edward Paul Ruggeroli, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2602 Issued in NV

Practice address

601 S Rancho Dr
Suite a-3
Las Vegas, NV 89106-4899

Phone

(702) 382-2311

Fax

(702) 759-7860

NPI assigned

Dec 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in NV

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

State licenses

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598829715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S RANCHO DR",
            "address_2": "SUITE A-3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064899",
            "telephone_number": "702-382-2311",
            "fax_number": "702-759-7860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S RANCHO DR",
            "address_2": "SUITE A-3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064899",
            "telephone_number": "702-382-2311",
            "fax_number": "702-759-7860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGEROLI",
        "first_name": "EDWARD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "2602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calvin Rufus Jr.
• Cory Rufus
• Elizabeth Brown Rufus, MS
• Anthony Charles Ruggeroli, M.D.
• Charles Ruggeroli, MD
• Chloe Lynn Ruggiero
• Anthony Ruiseco
• Ruiter Construction, LLC
• Charles Walter Ruiter III
• Maria Del Carmen Ruiz Alvarez

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• 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.
• 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.