Ronald Richard Kubiak, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DD2015 Issued in NM

Practice address

8600 Bataan Memorial E
Las Cruces, NM 88011-6016

Phone

(505) 382-2112

Fax

(505) 382-5064

NPI assigned

Jun 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456444800000",
    "number": "1619973013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 CALLE DE ALEGRA",
            "address_2": "BLDG. A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880053423",
            "telephone_number": "575-526-1105",
            "fax_number": "575-524-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 BATAAN MEMORIAL E",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880116016",
            "telephone_number": "505-382-2112",
            "fax_number": "505-382-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBIAK",
        "first_name": "RONALD",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2016-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NM",
            "license": "DD2015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10878068",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward G. Kruis, CMHC
• Felicia Krynitz
• KS2 NM, PC
• KSG First Assistants
• Jessica Marie Kubiak
• Elizabeth Gail Kuchler, APRN-BC FNP
• Stephanie M Kuensting, MS, CCC-SLP
• Thomas Jacob Kunz, O.D.
• John G Kutinac Jr., MA PA LPCC
• Mary Ellen Kutinac, RN

• General Practice Dentistry in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• General Practice Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.