NPIMap

Organization Active NPI

Rush Dental Clinic

  • Dental Clinic/Center
  • Ashland, AL
National Provider Identifier
1073065645
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3891 Issued in AL
Legal business name
RUSH DENTAL CLINIC
Practice address
46 Tyson Rd
Ashland, AL 36251
Phone
(256) 354-2118
NPI assigned
Oct 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Dr. Charles D Rush, DMDNPI 1952405946
Title
Owner
Phone
(256) 354-2118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3891 AL Primary

Addresses

Primary practice location

46 Tyson Rd
Ashland, AL 36251

Mailing address

PO Box 248
46 Tyson Rd
Ashland, AL 36251
Phone (256) 354-2118

National Provider Directory

National Provider Directory

Locations

46 Tyson Rd
Ashland, AL 36251
Phone (256) 354-2049

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1073065645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 248",
            "address_2": "46 TYSON RD",
            "city": "ASHLAND",
            "state": "AL",
            "postal_code": "36251",
            "telephone_number": "256-354-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 TYSON RD",
            "city": "ASHLAND",
            "state": "AL",
            "postal_code": "36251",
            "telephone_number": "256-354-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH DENTAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-354-2118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "3891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.