Jane Choung Rutledge, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

G3-0000325 Issued in DE

Practice address

707 Foulk Rd
Suite 103
Wilmington, DE 19803-3737

Phone

(302) 654-1328

NPI assigned

Mar 1, 2007

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

Enrolled in DE

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

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.

• Rutledge Dental Associates Inc.

  • Dentist
  • Middletown, DE
  • NPI 1851704233
  NPD (past) Authorized official
• Isaacs and Isaacs Family Dentistry

  • Dentist
  • Wilmington, DE
  • NPI 1932285756
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399939200000",
    "number": "1063540342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PUMPKIN PATCH LN",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078941",
            "telephone_number": "516-220-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 FOULK RD",
            "address_2": "SUITE 103",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033737",
            "telephone_number": "302-654-1328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "JANE",
        "middle_name": "CHOUNG",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2014-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "DE",
            "license": "G3-0000325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John N Russo, DDS
• Kimberly A. Russo, CRNA
• Nicholas J. Russo, D.M.D
• Sofia Danielle Russo, DO
• Gale Helen Rutan, MD
• Jeffrey Francis Rutledge, DMD
• Kennedy St. Clare Rutledge, PA-C
• Ryan Resource Management LLC
• Jennie E. Ryan, APN
• Julia D. Ryan, MD

• General Practice Dentistry in Wilmington, DE
• Providers in Wilmington, DE by specialty
• General Practice Dentistry in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2014; 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.