DR. RUTH WAUQUA BOL DDS
NPI 1124246376
Dentist - Pediatric Dentistry in San Ysidro, CA
About Dr. Ruth Wauqua Bol Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RUTH WAUQUA BOL DDS (NPI 1124246376) is an individual pediatric dentistry provider in San Ysidro, California, licensed in California (51668) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Ruth Wauqua Bol Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92173 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN YSIDRO, CA 92173
SAN YSIDRO, CA 92173
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ruth Bol's NPI number?
The NPI number for Ruth Bol is 1124246376. It was assigned to this individual provider in the NPPES registry on April 23, 2007.
Where is Ruth Bol located?
Ruth Bol practices at 4004 Beyer Blvd, San Ysidro, CA 92173. The listed phone number is (619) 662-4100.
What is Ruth Bol's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.
Is Ruth Bol enrolled in Medicare?
Yes. Ruth Bol is registered in the Medicare PECOS enrollment system.
What insurance does Ruth Bol accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Guardian and Renaissance Dental and 1 other insurer list Ruth Bol as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ruth Bol was last updated on May 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Ruth Wauqua Bol, DDS · NPI 1124246376
Pediatric Dentistry provider in San Ysidro, California. Individual provider, active in the CMS NPPES registry since April 23, 2007.
## Identity
- **NPI:** 1124246376 (Entity type: Individual)
- **Enumerated:** April 23, 2007
- **Primary specialty:** Dentist - Pediatric Dentistry · taxonomy 1223P0221X
- **State license:** 51668 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4004 BEYER BLVD, San Ysidro, CA 92173-2099
- **Phone:** (619) 662-4100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** May 24, 2024
- **Other identifiers:** Medicaid Q026775 (TN)
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Source: [NPI Profile](https://npiprofile.com/npi/1124246376) · Data from the CMS NPPES public registry.