Active NPI
Taylor N Rucker, DMD
- Dentist
- Las Vegas, NV
National Provider Identifier
1083382857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 7500
- Practice address
- 7900 W Tropical Pkwy
Las Vegas, NV 89149-4559 - Phone
- (702) 273-3676
- NPI assigned
- Sep 5, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 7500 | NV | Primary |
Addresses
Primary practice location
7900 W Tropical Pkwy
Las Vegas, NV 89149-4559
Mailing address
7157 Bocaire Dr
Las Vegas, NV 89131-1733
Phone (702) 336-8962
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | taylor.rucker@pacden.com | Direct | Pacific Dental LLP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7500 | NV | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630800000000",
"number": "1083382857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7157 BOCAIRE DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891311733",
"telephone_number": "702-336-8962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7900 W TROPICAL PKWY",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891494559",
"telephone_number": "702-273-3676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCKER",
"first_name": "TAYLOR",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-05",
"last_updated": "2021-09-05",
"certification_date": "2021-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NV",
"license": "7500",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "taylor.rucker@pacden.com",
"affiliation": "Y",
"endpointDescription": "Work secured email",
"affiliationName": "Pacific Dental LLP",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7900 W Tropical Pkwy",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891494559",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.