Active NPI
Julianne Kathryn Ruppel, D.D.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Chicago, IL
National Provider Identifier
1760646566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 9264
- Practice address
- 811 W Wellington Ave
Chicago, IL 60657-5123 - Phone
- (773) 871-1461
- NPI assigned
- Jul 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.027630 | IL | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 9264 | NC | Primary |
Addresses
Primary practice location
811 W Wellington Ave
Chicago, IL 60657-5123
Mailing address
150 Preston Executive Dr
Suite 102
Cary, NC 27513-8485
Phone (919) 469-6683
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 |
|---|---|---|---|
| 019.027630 | IL | MD | Dentist |
| 9264 | NC | MD | Audiologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379376000000",
"number": "1760646566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 PRESTON EXECUTIVE DR",
"address_2": "SUITE 102",
"city": "CARY",
"state": "NC",
"postal_code": "275138485",
"telephone_number": "919-469-6683",
"fax_number": "919-469-6636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "811 W WELLINGTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606575123",
"telephone_number": "773-871-1461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUPPEL",
"first_name": "JULIANNE",
"middle_name": "KATHRYN",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-11",
"last_updated": "2013-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.027630",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NC",
"license": "9264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.