G David Rubley DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

09785 Issued in MI

Legal business name

G DAVID RUBLEY DDS PC

Practice address

32 Division St
Coldwater, MI 49036

Phone

(517) 278-7436

Fax

(517) 279-4633

NPI assigned

Aug 17, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Christine M Brown

Title

Office Manager

Phone

(517) 278-7436

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Amanda Marie Bucklin, DDS

  • Dentist
  • Kalamazoo, MI
  • NPI 1760649164
  NPD (past)
• G David Rubley, DDS

  • Dentist
  • Coldwater, MI
  • NPI 1558364539
  NPD (past)

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750494233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 DIVISION ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "49036",
            "telephone_number": "517-278-7436",
            "fax_number": "517-279-4633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 DIVISION ST",
            "city": "COLDWATER",
            "state": "MI",
            "postal_code": "49036",
            "telephone_number": "517-278-7436",
            "fax_number": "517-279-4633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G DAVID RUBLEY DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-278-7436",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "09785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4027693",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evan Andrew Frederick, D.D.S.
• Freedom Recovery Center LLC
• Alexander Eliot Fry, LMFT
• Lubov Fry, ARNP
• Melinda Fuchs, LCSW
• Ishan Gajera
• Laurie Gajewski, LPN
• Amy Maria Galliers
• Alexis Gamble
• Maria Lyn-Shoop Garcia, O.D.

• Dentist in Coldwater, MI
• Providers in Coldwater, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.