Active NPI
Damyan Ruiz, RRT
- Registered Respiratory Therapist
- Lillington, NC
National Provider Identifier
1740069426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Respiratory Therapist
- License
- 14024
- Practice address
- 440 Wood Point Dr
Lillington, NC 27546-5967 - Phone
- (305) 794-8767
- NPI assigned
- Sep 22, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Personal Emergency Response Attendant | 146D00000X | |||
| Driver | 172A00000X | |||
| Educational Registered Respiratory Therapist | 2279E1000X | 14024 | NC | |
| Pulmonary Function Technologist Registered Respiratory Therapist | 2279P1006X | 14024 | NC | |
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Private Vehicle | 347C00000X | |||
| Adult Companion | 372600000X | 14024 | NC | |
| Registered Respiratory Therapist | 227900000X | 14024 | NC | Primary |
Addresses
Primary practice location
440 Wood Point Dr
Lillington, NC 27546-5967
Mailing address
440 Wood Point Dr
Lillington, NC 27546-5967
Phone (305) 794-8767
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
| License | State | Type | Specialty |
|---|---|---|---|
| 14024 | NC | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1695340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695340800000",
"number": "1740069426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 WOOD POINT DR",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275465967",
"telephone_number": "305-794-8767"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 WOOD POINT DR",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275465967",
"telephone_number": "305-794-8767"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "DAMYAN",
"credential": "RRT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-22",
"last_updated": "2023-09-22",
"certification_date": "2023-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "146D00000X",
"taxonomy_group": "",
"desc": "Personal Emergency Response Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
},
{
"code": "2279E1000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Educational",
"state": "NC",
"license": "14024",
"primary": false
},
{
"code": "2279P1006X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered, Pulmonary Function Technologist",
"state": "NC",
"license": "14024",
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "NC",
"license": "14024",
"primary": false
},
{
"code": "227900000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Registered",
"state": "NC",
"license": "14024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lillington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.