Efrain S. Ruiz

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

17064 Issued in MA

Legal business name

EFRAIN S. RUIZ

Practice address

304 Pleasant St
Brockton, MA 02301-3234

Phone

(508) 588-0094

Fax

(508) 583-2905

NPI assigned

Apr 7, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Efrain S RuizNPI 1568536811

Title

Owner

Phone

(508) 588-0094

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Efrain S Ruiz, D.M.D.

  • Pediatric Dentistry
  • Brockton, MA
  • NPI 1568536811
  NPD (past) Authorized official
• Maria Lucia Segura, D.M.D

  • Pediatric Dentistry
  • Brockton, MA
  • NPI 1811018922
  NPD (past)

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

{
    "created_epoch": "1207526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1639342116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 HICKS POINT RD",
            "city": "DUXBURY",
            "state": "MA",
            "postal_code": "023325201",
            "telephone_number": "781-934-6111",
            "fax_number": "508-583-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 PLEASANT ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023013234",
            "telephone_number": "508-588-0094",
            "fax_number": "508-583-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFRAIN S. RUIZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-07",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "EFRAIN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-588-0094",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MA",
            "license": "17064",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0270768",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andy Derolus Edouard
• Kadeeja Edwards-Davis
• Aniela Edwards
• Nancy Patricia Edwards, PA-C
• Stacey Edwards, LICSW
• Kathryn Lyons Egan, RDN
• Ogo I Egbuna, MD
• Ogadi Egbuonu
• Sebnem Egriboyun, MD
• Sheldon Ehrenzweig, PA

• Pediatric Dentistry in Brockton, MA
• Providers in Brockton, MA by specialty
• Pediatric Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; 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.