Kamran Ruintan, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4310 Issued in AZ

Practice address

10211 N 32ND St
Suite C-1
Phoenix, AZ 85028-3828

Phone

(602) 996-0166

Fax

(602) 996-1156

NPI assigned

Jul 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

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.

• Kamran Ruintan DMD

  • General Practice Dentistry
  • Phoenix, AZ
  • NPI 1689851578
  NPD (past) Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710902408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10211 N 32ND ST",
            "address_2": "SUITE C-1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283828",
            "telephone_number": "602-996-0166",
            "fax_number": "602-996-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10211 N 32ND ST",
            "address_2": "SUITE C-1",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850283828",
            "telephone_number": "602-996-0166",
            "fax_number": "602-996-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUINTAN",
        "first_name": "KAMRAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "4310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sebastian B Ruggeri, MD
• Connie T Rugolo, MS/CCC-LP
• Anne-Michelle Ruha, M.D.
• Rugabirwa Heri Ruhorimbere
• Elias Omar Ruiloba, MD
• Catherine Wangui Ruiru, PHARMD
• Lissette Ruiz Ibarra
• Diana Paola Ruiz Monroy
• Abigail Ruiz Vilches
• Lisa Marie Ruiz-Gonzales, MS, ATC, AT

• General Practice Dentistry in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Practice Dentistry in Arizona

• 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.
• 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.