Organization Active NPI

J. Michael Ruff, DDS, PA

  • Periodontics
  • Fayetteville, NC
National Provider Identifier
1780725465
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
4588 Issued in NC
Legal business name
J. MICHAEL RUFF, DDS, PA
Practice address
823 Elm St
Suite 220
Fayetteville, NC 28303-4172
Phone
(910) 483-4867
Fax
(910) 483-7943
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Joann D. Ruff
Title
Office Manager
Phone
(910) 483-4867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0300X 4588 NC Primary

Addresses

Primary practice location

823 Elm St
Suite 220
Fayetteville, NC 28303-4172

Mailing address

823 Elm St
Suite 220
Fayetteville, NC 28303-4172
Phone (910) 483-4867

National Provider Directory

National Provider Directory

Locations

823 Elm St
Ste 220
Fayetteville, NC 28303
Phone (910) 483-4867

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780725465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 ELM ST",
            "address_2": "SUITE 220",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034172",
            "telephone_number": "910-483-4867",
            "fax_number": "910-483-7943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 ELM ST",
            "address_2": "SUITE 220",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283034172",
            "telephone_number": "910-483-4867",
            "fax_number": "910-483-7943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. MICHAEL RUFF, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUFF",
        "authorized_official_first_name": "JOANN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "910-483-4867",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": "NC",
            "license": "4588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • 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.