Active NPI
Edwin John Ruby, D.C.
- Neurology Chiropractor
- Ocala, FL
National Provider Identifier
1790904449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Chiropractor
- License
- CH9328
- Practice address
- 3120 SW 27TH Ave
Ocala, FL 34474-8458 - Phone
- (352) 237-0637
- Fax
- (352) 237-8457
- NPI assigned
- Apr 24, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | CH9328 | FL | Primary |
Addresses
Primary practice location
3120 SW 27TH Ave
Ocala, FL 34474-8458
Mailing address
201 Shady Lane Dr
Deland, FL 32724-6813
Phone (386) 736-2345
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH9328 | FL | MD | Neurology Chiropractor |
| 3918 | AZ | MD | Child Mental Illness Respite Care |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177372800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1790904449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 SHADY LANE DR",
"city": "DELAND",
"state": "FL",
"postal_code": "327246813",
"telephone_number": "386-736-2345"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 SW 27TH AVE",
"city": "OCALA",
"state": "FL",
"postal_code": "344748458",
"telephone_number": "352-237-0637",
"fax_number": "352-237-8457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBY",
"first_name": "EDWIN",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "FL",
"license": "CH9328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.