NPIMap

Organization Active NPI

Ruiz Dental Corporation

  • Pediatric Dentistry
  • Orange, CA
National Provider Identifier
1679925390
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
62249 Issued in CA
Legal business name
RUIZ DENTAL CORPORATION
Practice address
1122 E Lincoln Ave
Suite 212
Orange, CA 92865-1907
Phone
(714) 497-2747
NPI assigned
Jul 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Authorized official

Name
Dr. Geraldine Enriqueta Ruiz, DDSNPI 1598102790
Title
President
Phone
(714) 497-2747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 62249 CA Primary

Addresses

Primary practice location

1122 E Lincoln Ave
Suite 212
Orange, CA 92865-1907

Mailing address

1122 E Lincoln Ave
Suite 212
Orange, CA 92865-1907
Phone (714) 497-2747

Other names 1

  • Orange County Children's Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1122 E Lincoln Ave
Ste 212
Orange, CA 92865
Phone (714) 497-2747

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467763200000",
    "number": "1679925390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 E LINCOLN AVE",
            "address_2": "SUITE 212",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651907",
            "telephone_number": "714-497-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 E LINCOLN AVE",
            "address_2": "SUITE 212",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928651907",
            "telephone_number": "714-497-2747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUIZ DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-06",
        "last_updated": "2016-07-06",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_middle_name": "ENRIQUETA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-497-2747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "62249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orange County Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.