Michael R Ruen, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

019024771 Issued in IL

Practice address

320 E Veterans Pkwy
Yorkville, IL 60560

Phone

(630) 882-8844

Fax

(630) 882-8535

NPI assigned

Aug 21, 2006

Last updated

May 23, 2018By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in WI

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• York Towne Dental

  • Dentist
  • Yorkville, IL
  • NPI 1902958846
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1629183363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E VETERANS PKWY",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601767",
            "telephone_number": "630-882-8844",
            "fax_number": "630-882-8535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E VETERANS PKWY",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "60560",
            "telephone_number": "630-882-8844",
            "fax_number": "630-882-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEN",
        "first_name": "MICHAEL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019024771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33796800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LISCENCE",
            "identifier": "019-024771",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rooted Within Therapy and Wellness, PLLC
• Patrick Roscoe, MS, ATC
• Diana Rosenberg, M.D.
• Ann M Rotter, PH.D
• Louise Rudow
• Rush Copley Medical Group
• Rush-Copley Medical Group
• Rush-Copley Medical Group
• Rush-Copley Medical Group
• Rush-Copley Medical Group NFP

• Dentist in Yorkville, IL
• Providers in Yorkville, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.