Roberto Gabriel Ruiz

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS040561 Issued in PA

Practice address

1020 W Broad St
Bethlehem, PA 18018-5024

Phone

(610) 691-6900

NPI assigned

Jul 16, 2015

Last updated

Jul 16, 2015By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Whitehorse Dental

  • General Practice Dentistry
  • Hamilton, NJ
  • NPI 1750151015
  NPD Authorized official
• Dr. Arreola & Associates, LLC

  • General Practice Dentistry
  • Bethlehem, PA
  • NPI 1972833598
  NPD (past)

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1720462047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 W BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 W BROAD ST",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185024",
            "telephone_number": "610-691-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "ROBERTO",
        "middle_name": "GABRIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS040561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanessa Ruggiero, CRNP
• Michael August Ruh, PA-C
• Ada Ruiz
• Delaney Rose Ruiz
• Ricardo Ruiz
• Ruliving Institute, LLC
• Taylor Elizabeth Rundatz, MD, MPH
• Samantha Ashley Ruppert
• Philip G. Rusche, M.S.W.
• Aquilah Rush

• General Practice Dentistry in Bethlehem, PA
• Providers in Bethlehem, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.