Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1871509109 Individual Practitioner Male Practitioner

Dr. Ralph Karl Ruckman , DDS

Dentist - General Practice • Independence, MO

Professional Overview & Biography Verified Profile Summary

Dr. Ralph Ruckman, DDS is a registered healthcare professional specializing in Dentist - General Practice in Independence, MO. Practice services are available at 4801 S CLIFF AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4801 S Cliff Ave
Ste 208

Independence, MO 640557015

Telephone 8163738002
Fax 8163790011
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Independence, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
59 Specialists

Practicing in Independence, MO (2113 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MO 14192

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Delta
14192 (MO)
Commercial Insurance / Payer ID United Concordia
138920 (MO)
Commercial Insurance / Payer ID Trigon
242220 (MO)
Commercial Insurance / Payer ID Blue Cross Blue Shield
10859 (MO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Larry Pribyl , DDS

Dentist - General Practice

NPI 1043311103

Doctor of Dental Surgery

Dr. Todd Fristo , MD

Family Medicine

NPI 1265427348

Doctor of Medicine (M.D.)

NPI 1396725206

Doctor of Medicine (M.D.)

NPI 1609979202

Doctor of Optometry

NPI 1770774440

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4801 S CLIFF AVE, STE 208, INDEPENDENCE, MO 640557015 (Tel: 8163738002)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4801 S CLIFF AVE, STE. 208, INDEPENDENCE, MO 640557015 (Tel: 8163734554)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as RALPH RUCKMAN, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #14192 in MO)

🟢
Initial NPI Registration & Enumeration July 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1871509109
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

4801 S Cliff Ave, Ste. 208

Independence, MO 640557015

Phone: 8163734554

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.