Jose-Luis Ruiz D.D.S., a.P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

38124 Issued in CA

Legal business name

JOSE-LUIS RUIZ D.D.S., A.P.C.

Practice address

11966 Ventura Blvd
Studio City, CA 91604-2606

Phone

(818) 641-5577

Fax

(818) 245-9339

NPI assigned

Mar 29, 2016

Organization subpart

No

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

Authorized official

Name

Jose-Luis Ruiz, D.D.S.,, F.A.G.D.

Title

Owner

Phone

(818) 558-4332

Specialties & licenses 1

Addresses

Other names 1

• Supra-gingival Dentistry By Dr. Jose-Luis Ruiz Dental Office Doing business as

Locations

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1992168959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11966 VENTURA BLVD",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042606",
            "telephone_number": "818-641-5577",
            "fax_number": "818-245-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11966 VENTURA BLVD",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916042606",
            "telephone_number": "818-641-5577",
            "fax_number": "818-245-9339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE-LUIS RUIZ D.D.S., A.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "JOSE-LUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-558-4332",
        "authorized_official_credential": "D.D.S.,, F.A.G.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "38124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supra-gingival Dentistry By Dr. Jose-Luis Ruiz Dental Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Studio City, CA
• Providers in Studio City, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.