Sara Ruby, D.M.D.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS-036351 Issued in PA

Practice address

171 Wexford Bayne Rd Ste 200
Wexford, PA 15090-8790

Phone

(412) 538-0010

Fax

(412) 538-0010

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

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.

• Miracle Dental Associates

  • General Practice Dentistry
  • Wexford, PA
  • NPI 1427491315

  General Practice

  NPD (past)
• Serenity Dental Care, P.C.

  • Dentist
  • New Castle, PA
  • NPI 1902025273
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1619985322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 WEXFORD BAYNE RD STE 200",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908790",
            "telephone_number": "412-538-0010",
            "fax_number": "412-538-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 WEXFORD BAYNE RD STE 200",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908790",
            "telephone_number": "412-538-0010",
            "fax_number": "412-538-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBY",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS-036351",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-022152",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS-036351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda L Rowe
• Rowland Associates OBGYN Inc
• Kathleen Rowland, MOTR/L
• Amy Leigh Rubinosky, MPAS-C
• Colleen Rubright, M.S., CCC-SLP
• Kristen Rudolph
• Lindsay Rudolph, L.C.S.W.
• Randall Scott Ruffner, M.D.
• Liselle Ruggiero, PT, MSPT
• Gianna Carmella Runco

• All providers in Wexford, PA
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.