DR. JACK W RUBY DDS
NPI 1700901196
Dentist - General Practice in Oak Lawn, IL
About Dr. Jack W Ruby Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACK W RUBY DDS (NPI 1700901196) is an individual general practice provider in Oak Lawn, Illinois, licensed in Illinois (19A13445) and active in the NPI registry since March 2007. He has opted out of Medicare through February 4, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Jack W Ruby Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 4, 2016 through February 4, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60453 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 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jack Ruby's NPI number?
The NPI number for Jack Ruby is 1700901196. It was assigned to this individual provider in the NPPES registry on March 21, 2007.
Where is Jack Ruby located?
Jack Ruby practices at 6735 W 95th St, Oak Lawn, IL 60453. The listed phone number is (708) 598-0717.
What is Jack Ruby's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Jack Ruby enrolled in Medicare?
No. Jack Ruby has opted out of Medicare through February 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Jack Ruby accept?
Health plans from Anthem Blue Cross and Blue Shield list Jack Ruby 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 Jack Ruby was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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. Jack W Ruby, DDS · NPI 1700901196
General Practice provider in Oak Lawn, Illinois. Individual provider, active in the CMS NPPES registry since March 21, 2007.
## Identity
- **NPI:** 1700901196 (Entity type: Individual)
- **Enumerated:** March 21, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 19A13445 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6735 W 95TH ST, Oak Lawn, IL 60453-2112
- **Phone:** (708) 598-0717 · **Fax:** (708) 598-0813
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 4, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** July 8, 2007
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Source: [NPI Profile](https://npiprofile.com/npi/1700901196) · Data from the CMS NPPES public registry.