NPIMap

Organization Active NPI

Robert S. Ruhl, DMD, PC

  • General Practice Dentistry
  • Wilmington, VT
National Provider Identifier
1720299100
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
775 Issued in VT
Legal business name
ROBERT S. RUHL, DMD, PC
Practice address
25 Coldbrook Rd
Suite 1
Wilmington, VT 05363-9624
Phone
(802) 464-8853
Fax
(802) 464-3657
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Authorized official

Name
Dr. Robert S. Ruhl, D.M.D.NPI 1235197203
Title
President
Phone
(802) 464-8853

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 775 VT Primary

Addresses

Primary practice location

25 Coldbrook Rd
Suite 1
Wilmington, VT 05363-9624

Mailing address

25 Coldbrook Rd
Suite 1
Wilmington, VT 05363-9624
Phone (802) 464-8853

Other identifiers 1

IdentifierTypeStateIssuer
0002408MedicaidVT

Other names 1

  • Robert S. Ruhl, DMD, PC Other name

National Provider Directory

National Provider Directory

Locations

25 Coldbrook Rd
#1
Wilmington, VT 05363
Phone (802) 464-8853

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": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189382400000",
    "number": "1720299100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 COLDBROOK RD",
            "address_2": "SUITE 1",
            "city": "WILMINGTON",
            "state": "VT",
            "postal_code": "053639624",
            "telephone_number": "802-464-8853",
            "fax_number": "802-464-3657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COLDBROOK RD",
            "address_2": "SUITE 1",
            "city": "WILMINGTON",
            "state": "VT",
            "postal_code": "053639624",
            "telephone_number": "802-464-8853",
            "fax_number": "802-464-3657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT S. RUHL, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-09-10",
        "status": "A",
        "authorized_official_last_name": "RUHL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "802-464-8853",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "775",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002408",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robert S. Ruhl, DMD, PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, VT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.