Edward M. Ruiz DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

EDWARD M. RUIZ DDS PC

Practice address

17901 Governors Hwy
Suite 201a
Homewood, IL 60430-1144

Phone

(708) 798-8899

Fax

(708) 798-3923

NPI assigned

Oct 29, 2013

Last updated

Oct 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward M Ruiz, DDSNPI 1992747810

Title

Owner/Dentist

Phone

(708) 798-8899

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Edward Michael Ruiz, DDS

  • General Practice Dentistry
  • Homewood, IL
  • NPI 1992747810
  NPD (past) Authorized official

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1609204726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17901 GOVERNORS HWY",
            "address_2": "SUITE 201A",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301144",
            "telephone_number": "708-798-8899",
            "fax_number": "708-798-3923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17901 GOVERNORS HWY",
            "address_2": "SUITE 201A",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604301144",
            "telephone_number": "708-798-8899",
            "fax_number": "708-798-3923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD M. RUIZ DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "708-798-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David D. Dunagan, D.D.S.
• Brittany Marie Dunn
• Earnest Webb, PC
• Kennise D. Eaton
• Elizabeth A Ebeywa, DNP
• Patrick Egan, RPH
• Rio Rayne Egan, LPC
• Cari C Egharevba, LMSW
• Ronald Louis Eldridge, D.D.S.
• Eldridge&Eldridge DDS PC

• General Practice Dentistry in Homewood, IL
• Providers in Homewood, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.