Organization Active NPI

Ron Ruppert PC

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1972622363
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO488 Issued in NV
Legal business name
RON RUPPERT PC
Practice address
4275 Burnham Ave
Suite 365
Las Vegas, NV 89119-8207
Phone
(702) 731-1105
Fax
(702) 731-1201
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Dr. Ronald C Ruppert, D.O.
Title
President
Phone
(702) 731-1105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X DO488 NV Primary

Addresses

Primary practice location

4275 Burnham Ave
Suite 365
Las Vegas, NV 89119-8207

Mailing address

4275 Burnham Ave
Suite 365
Las Vegas, NV 89119-8207
Phone (702) 731-1105

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1972622363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVE",
            "address_2": "SUITE 365",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891198207",
            "telephone_number": "702-731-1105",
            "fax_number": "702-731-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4275 BURNHAM AVE",
            "address_2": "SUITE 365",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891198207",
            "telephone_number": "702-731-1105",
            "fax_number": "702-731-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RON RUPPERT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "RUPPERT",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-731-1105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.