Individual provider Active NPI

Algis A Ruginis, D.D.S.

  • Dentist
  • Lockport, IL
National Provider Identifier
1750723425
Registry record updated Jul 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019.015155 Issued in IL
Practice address
856 N State St
Lockport, IL 60441-2229
Phone
(815) 838-1998
Fax
(815) 838-4263
NPI assigned
Jul 23, 2013
Last updated
Jul 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019.015155 IL Primary

Addresses

Primary practice location

856 N State St
Lockport, IL 60441-2229

Mailing address

856 N State St
Lockport, IL 60441-2229
Phone (815) 838-1998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160210000743 IL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5991009052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
019.015155ILMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Zale Foster and Ruginis Dental Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1374537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374537600000",
    "number": "1750723425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "856 N STATE ST",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604412229",
            "telephone_number": "815-838-1998",
            "fax_number": "815-838-4263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 N STATE ST",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604412229",
            "telephone_number": "815-838-1998",
            "fax_number": "815-838-4263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGINIS",
        "first_name": "ALGIS",
        "middle_name": "A",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-23",
        "last_updated": "2013-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.015155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, IL

Sources for this page

Verify at the official NPI Registry.