Grace Elizabeth Rudersdorf, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00202316 Issued in CO

Practice address

10000 Commons St
Lone Tree, CO 80124-5501

Phone

(303) 790-8080

Fax

(303) 790-0679

NPI assigned

Sep 4, 2014

Last updated

Dec 7, 2015By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Networks

• CO HMO D-SNP
• CO HMO C-SNP

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.

• Lone Tree Dentists, LLP

  dba Lone Tree Dentists / My Kids Dentist and Orthodontics

  • General Practice Dentistry
  • Lone Tree, CO
  • NPI 1144534231
  NPD (past)

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449446400000",
    "number": "1043610421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10000 COMMONS ST",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245501",
            "telephone_number": "303-790-8080",
            "fax_number": "303-790-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 COMMONS ST",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245501",
            "telephone_number": "303-790-8080",
            "fax_number": "303-790-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDERSDORF",
        "first_name": "GRACE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2015-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00202316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee M Rossi, M.D.
• Angela Mae Rothkamp, LPC
• Amanda Michelle Roy, WHNP-BC
• Lindy D Royer, P.T.
• Piper Lynn Rudel, FNP
• Manuel Ruiz Jr., RN
• Debra Kay Ruka, L.AC
• Running Creek Vision Center
• Anne M.L. Rustemeyer, D.O.
• Ellen Marie Ryan, M.D.

• Dentist in Lone Tree, CO
• Providers in Lone Tree, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2015; 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.