Kenneth J Rudman, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1976 Issued in RI

Practice address

35 Veterans Memorial Dr
Warwick, RI 02886-4617

Phone

(401) 737-5449

Fax

(401) 732-3695

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kenneth J. Rudman, D.M.D.

  • Dental Clinic/Center
  • Warwick, RI
  • NPI 1134694573
  NPD (past) Authorized official
• Wave Dental, P.C

  • Dental Clinic/Center
  • Warwick, RI
  • NPI 1821772302
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1013028372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 VETERANS MEMORIAL DR",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864617",
            "telephone_number": "401-737-5449",
            "fax_number": "401-732-3695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 VETERANS MEMORIAL DR",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864617",
            "telephone_number": "401-737-5449",
            "fax_number": "401-732-3695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDMAN",
        "first_name": "KENNETH",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "RI",
            "license": "1976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "KR00153",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Louise Roy, LMFT
• Austine Rua
• Bonnie Irene Rubenthaler, RN
• Kristen Rubin, AU.D
• Jonah Edward Ruddy, DO
• Nadia Katrina Rudman
• Angela Susan Rudner, LCSWC
• Jessica Somerville Ruffolo, PH.D.
• Cynthia Ruggiero, APRNCNP
• Molly I Ruhan

• Dentist in Warwick, RI
• Providers in Warwick, RI by specialty
• Dentist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.