James Joseph Rubin, D.D.S.

Primary specialty

Public Health DentistryTaxonomy code 1223D0001X

License

30-012952 Issued in OH

Practice address

11660 Upper Gilchrist Rd
Mount Vernon, OH 43050-9084

Phone

(740) 392-2200

Fax

(740) 399-8012

NPI assigned

Dec 13, 2006

Sex

Male

Sole proprietor

Yes

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

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871654772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14137",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432140137",
            "telephone_number": "614-886-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11660 UPPER GILCHRIST RD",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430509084",
            "telephone_number": "740-392-2200",
            "fax_number": "740-399-8012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "JAMES",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "OH",
            "license": "30-012952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0070159",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert W Ronk, D.D.S.
• Rose View LLC
• Sandra Roseberry, LMT
• Joyce Ross, OTA04810
• Kara D Ross, CMS
• Bonnie Rushley
• Joyce Russell
• Ali Salim, MD
• Ronald Joseph Salkovick II, CRNA
• Caleb Salmons

• Public Health Dentistry in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Public Health Dentistry in Ohio

• 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.

Verify at the official NPI Registry.