Active NPI
Neil C Rush, D.M.D.
- General Practice Dentistry
- Cynthiana, KY
National Provider Identifier
1063516607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4756
- Practice address
- 218 S Main St
Cynthiana, KY 41031-1548 - Phone
- (859) 234-1473
- Fax
- (859) 234-1473
- NPI assigned
- Sep 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4756 | KY | Primary |
Addresses
Primary practice location
218 S Main St
Cynthiana, KY 41031-1548
Mailing address
218 S Main St
Cynthiana, KY 41031-1548
Phone (859) 234-1473
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 831135 | Other | KY | UNITED CONCORDIA PROVIDER |
| 60047560 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151112001335 | KY | Order and Referring Only - Dentist | 4385954825 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FDC Cynthiana LLC | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Cynthiana, KY
- NPI 1407722887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437091200000",
"number": "1063516607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 S MAIN ST",
"city": "CYNTHIANA",
"state": "KY",
"postal_code": "410311548",
"telephone_number": "859-234-1473",
"fax_number": "859-234-1473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "218 S MAIN ST",
"city": "CYNTHIANA",
"state": "KY",
"postal_code": "410311548",
"telephone_number": "859-234-1473",
"fax_number": "859-234-1473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSH",
"first_name": "NEIL",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-12",
"last_updated": "2015-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "KY",
"license": "4756",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA PROVIDER",
"identifier": "831135",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "60047560",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cynthiana, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.