Individual provider Active NPI

Brandy Rubinski, DMD

  • General Practice Dentistry
  • Lakewood Ranch, FL
National Provider Identifier
1972915106
Registry record updated Jun 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN20051 Issued in FL
Practice address
8430 Enterprise Cir Ste 100
Lakewood Ranch, FL 34202
Phone
(941) 907-4777
NPI assigned
May 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 62738 CA
General Practice Dentistry 1223G0001X DN20051 FL Primary

Addresses

Primary practice location

8430 Enterprise Cir Ste 100
Lakewood Ranch, FL 34202

Mailing address

11562 11TH Ave E
Bradenton, FL 34212-2501
Phone (239) 872-8387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN20051FLMDGeneral Practice Dentistry
62738CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1400716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529193600000",
    "number": "1972915106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11562 11TH AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342122501",
            "telephone_number": "239-872-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 ENTERPRISE CIR STE 100",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "34202",
            "telephone_number": "941-907-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBINSKI",
        "first_name": "BRANDY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-22",
        "last_updated": "2018-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "62738",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN20051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2018; 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.