T. Rutner DDS Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

T. RUTNER DDS DENTAL CORPORATION

Practice address

493 Pleasant Valley Rd Ste. #110
Diamond Springs, CA 95619-9517

Phone

(533) 440-2900

Fax

(530) 344-0290

NPI assigned

Dec 17, 2024

Organization subpart

Yes

Parent organization

T. RUTNER DDS DENTAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Maribel Aguilar Garcia

Title

Office Manager

Phone

(530) 677-3788

Specialties & licenses 1

Addresses

Other names 1

• T. Rutner DDS Dental Corporation Former legal business name

Tax ID family

T Rutner DDS Dental Corporation3 organizations share this tax ID, including this one

Part of

T Rutner DDS Dental Corporation

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• T. Rutner DDS Dental Corporation

  • Dentist
  • South Lake Tahoe, CA
  • NPI 1467268573
  NPD tax ID
• T. Rutner DDS Dental Corporation

  • Dentist
  • El Dorado, CA
  • NPI 1821804170
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• T. Rutner DDS Dental Corporation

  • Dentist
  • South Lake Tahoe, CA
  • NPI 1467268573
  NPPES parent name

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1023825635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 PLEASANT VALLEY RD STE. #110",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199517",
            "telephone_number": "533-440-2900",
            "fax_number": "530-344-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "493 PLEASANT VALLEY RD STE. #110",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199517",
            "telephone_number": "533-440-2900",
            "fax_number": "530-344-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. RUTNER DDS DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "T. RUTNER DDS DENTAL CORPORATION",
        "enumeration_date": "2024-12-17",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_middle_name": "AGUILAR",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "530-677-3788"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T. Rutner DDS Dental Corporation",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Olivia Francesca-Diprosper Stanfield
• Devin Stone
• Natalie Studzinski
• Robin Sullivan
• Robyn Swartz, PT
• Clifford Alan Taylor, DC
• John Franklin Taylor III, D.C.
• Keith Anthony Taylor
• Amy Anne Teeling, LCSW
• Kalue Thaoxaochay

• Dentist in Diamond Springs, CA
• Providers in Diamond Springs, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.