Kelley Jo Ruehs, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

07938 Issued in IA

Practice address

1301 W 1St St
Cedar Falls, IA 50613-2113

Phone

(319) 277-4600

Fax

(319) 266-5270

NPI assigned

Aug 30, 2006

Last updated

Oct 1, 2009By the provider in NPPES

Sex

Female

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)

Enrolled

State licenses

Practice roles

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.

• Cedar Valley Pediatric Dentistry, PC

  • Pediatric Dentistry
  • Cedar Falls, IA
  • NPI 1194050286
  NPD (past) Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1861502437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W 1ST ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132113",
            "telephone_number": "319-277-4600",
            "fax_number": "319-266-5270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 W 1ST ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132113",
            "telephone_number": "319-277-4600",
            "fax_number": "319-266-5270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEHS",
        "first_name": "KELLEY",
        "middle_name": "JO",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IA",
            "license": "07938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1178137",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roc Care Group, LLC
• Katie Jo Rogers
• Rebecca Rogers, LISW
• Ellie Marie Rose, DPT
• Jason Allen Rose, D.C.
• Faith Elaine Rulapaugh, LPT
• Stacey Ann Runde, MS, RDN, LDN
• Kylie Russell, LMSW
• Safe Space Therapy
• Ezekiel Sakyiama, MD

• Pediatric Dentistry in Cedar Falls, IA
• Providers in Cedar Falls, IA by specialty
• Pediatric Dentistry in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; 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.