Charles Walter Ruiter III

Primary specialty

Environmental Modification Occupational TherapistTaxonomy code 225XE0001X

License

B202009141071371 Issued in NV

Practice address

3355 Palms Center Dr
Las Vegas, NV 89103-5663

Phone

(702) 252-4069

NPI assigned

Aug 23, 2021

Last updated

Aug 23, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ruiter Construction, LLC

  • Home Modifications Contractor
  • Las Vegas, NV
  • NPI 1770245698
  NPD

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629676800000",
    "number": "1801563432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3355 PALMS CENTER DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891035663",
            "telephone_number": "702-252-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 PALMS CENTER DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891035663",
            "telephone_number": "702-252-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUITER",
        "first_name": "CHARLES",
        "middle_name": "WALTER",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-23",
        "last_updated": "2021-08-23",
        "certification_date": "2021-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Environmental Modification",
            "state": "NV",
            "license": "B202009141071371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005059132",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Ruggeroli, MD
• Edward Paul Ruggeroli, DDS
• Chloe Lynn Ruggiero
• Anthony Ruiseco
• Ruiter Construction, LLC
• Maria Del Carmen Ruiz Alvarez
• Yenifer Ruiz Camacho
• Kirenia Ruiz Cosio
• Diana Ruiz de Espinoza
• Milagros Ruiz Echevarria

• Occupational Therapist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Occupational Therapist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2021; 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.