Kevin B Rucinski, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

14132 Issued in MI

Practice address

188 Pine Bluffs Rd
Roscommon, MI 48653-8328

Phone

(989) 821-9222

Fax

(989) 821-4981

NPI assigned

Mar 22, 2012

Last updated

Dec 10, 2015By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

• Kevin B Rucinski DDS PC

  • Dentist
  • Roscommon, MI
  • NPI 1235354382
  Authorized official Same address or phone
• Kevin D Rucinski DDS

  • Dentist
  • Roscommon, MI
  • NPI 1427260009
  Authorized official Same address or phone
• Roscommon Family Dentistry

  • General Practice Dentistry
  • Roscommon, MI
  • NPI 1568903573
  Authorized official Same address or phone

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449705600000",
    "number": "1033485164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 PINE BLUFFS RD",
            "city": "ROSCOMMON",
            "state": "MI",
            "postal_code": "486538328",
            "telephone_number": "989-821-9222",
            "fax_number": "989-821-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 PINE BLUFFS RD",
            "city": "ROSCOMMON",
            "state": "MI",
            "postal_code": "486538328",
            "telephone_number": "989-821-9222",
            "fax_number": "989-821-4981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCINSKI",
        "first_name": "KEVIN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-22",
        "last_updated": "2015-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "14132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Proactive Plus Physical Therapy PLC
• R.O.O.C., Inc
• Michael Lyle Ritchie, DC
• Rite Aid of Michigan Inc (Rite Aid Pharmacy 03320)
• Roscommon Family Dentistry
• Kelly Marie Sauter, LLMSW
• Carol Jeanne Schaab, OTR
• Cheryl Ann Sherman, RN
• Pramod Kumar Singh, PT
• Jennifer Joann Smejkal, IBCLC

• Dentist in Roscommon, MI
• Providers in Roscommon, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.