Dr.Jack Ruby Chartered

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR.JACK RUBY CHARTERED

Practice address

6735 W 95TH St
Oak Lawn, IL 60453-2112

Phone

(708) 598-0717

NPI assigned

Feb 14, 2012

Last updated

Feb 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jack W. Ruby, D.D.SNPI 1700901196

Title

Owner

Phone

(708) 598-0717

Specialties & licenses 1

Addresses

Other names 1

• Oak Lawn Dental Center Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jack W Ruby, DDS

  • General Practice Dentistry
  • Oak Lawn, IL
  • NPI 1700901196
  Authorized official Same address or phone

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

{
    "created_epoch": "1329177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1750654281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6735 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532112",
            "telephone_number": "708-598-0717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532112",
            "telephone_number": "708-598-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.JACK RUBY CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-14",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "RUBY",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-598-0717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Lawn Dental Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kerri Douglas, FNP-BC
• Jessica Lynn Dowling, MS, CGC
• Dr Ashraf Abourahma M D LTD
• Dr Dale S Raines & Associates LTD
• Dr. James Hogg & Associates LLC
• Jessica Marie Drafke, LSW
• Peter B. Dragisic, M.D.
• Kathleen G Draths Hanson, MD
• Christina Ashley Dreffein, AU.D.
• Teresa Drelich

• General Practice Dentistry in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.