Active NPI
Ron Ruppert PC
- Family Medicine Physician
- Las Vegas, NV
National Provider Identifier
1972622363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO488
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryPractitioners & 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.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1518001551
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
- Roms American Services LLC
- Caroline Emily R. Romualdez, APRN
- Rosa Romualdo
- Maria Dancel Romulo
- Romy Park OD Professional Corporation
- Ron T. Kassof MD PLLC
- Ron Zedek MD, PC
- Ron Zedek MD, PC, Dba: Nevada Behavioral Solutions
- Maria Cristina Rona
- Ronald a Shockley MD a Professional Corporation (Infectious Disease Partners of Nevada)
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.