Edward Lee Rugama, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

31713 Issued in TX

Practice address

22377 Bellaire Blvd Ste 200
Richmond, TX 77407-3926

Phone

(832) 280-7545

NPI assigned

Jul 2, 2013

Last updated

Aug 30, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Tooth in Boots Pediatric Dentistry, LLC

  • Pediatric Dentistry
  • Richmond, TX
  • NPI 1427576990
  NPD Authorized official
• A & E Dental PLLC

  dba Spring Cypress kids dentistry and orthodontics

  • Pediatric Dentistry
  • Cypress, TX
  • NPI 1831767581
  NPD
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1861832917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22377 BELLAIRE BLVD STE 200",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073926",
            "telephone_number": "562-235-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22377 BELLAIRE BLVD STE 200",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774073926",
            "telephone_number": "832-280-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGAMA",
        "first_name": "EDWARD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-02",
        "last_updated": "2022-08-30",
        "certification_date": "2021-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "12",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "31713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Royal Crest Health Services, Inc
• Rrichmond Professional Pharmacy, Inc. (Richmond Professional Pharmacy, Inc.)
• Terrence Davon Rubin
• Grahambert Perez Rubio, RN
• Bernard J Rudich
• Angelique Nyawera Ruhamya, RN
• Maria Ruiz-Martinez, RBT, CPR
• Rumd Inc (Affectionate Care Assisted Living Home)
• Kathleen Rushing, LPC-S
• Elaine Russell, SLP, CCC

• Pediatric Dentistry in Richmond, TX
• Providers in Richmond, TX by specialty
• Pediatric Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.