Individual provider Active NPI

Edward Leigh Ruch, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Beachwood, OH
National Provider Identifier
1679671192
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
30.015246 Issued in OH
Practice address
3690 Orange PL
Suite 185
Beachwood, OH 44122-4464
Phone
(216) 378-1919
Fax
(216) 378-9737
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 30.015246 OH Primary

Addresses

Primary practice location

3690 Orange PL
Suite 185
Beachwood, OH 44122-4464

Mailing address

3690 Orange PL
Suite 185
Beachwood, OH 44122-4464
Phone (216) 378-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30.015246OHMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679671192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL",
            "address_2": "SUITE 185",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224464",
            "telephone_number": "216-378-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL",
            "address_2": "SUITE 185",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224464",
            "telephone_number": "216-378-1919",
            "fax_number": "216-378-9737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCH",
        "first_name": "EDWARD",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "OH",
            "license": "30.015246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.