Organization Active NPI

David J Rudolph DDS Inc.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Northridge, CA
National Provider Identifier
1093625428
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
DAVID J RUDOLPH DDS INC.
Practice address
8619 Reseda Blvd Ste 108
Northridge, CA 91324-4060
Phone
(818) 718-1737
Fax
(818) 337-2430
NPI assigned
Sep 9, 2026
Last updated
Sep 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Authorized official

Name
David Rudolph, DDS MS PHDNPI 1982794418
Title
Owner
Phone
(913) 745-7373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

8619 Reseda Blvd Ste 108
Northridge, CA 91324-4060

Mailing address

8619 Reseda Blvd Ste 108
Northridge, CA 91324-4060
Phone (818) 718-1737

National Provider Directory

National Provider Directory

Locations

8619 Reseda Blvd
Ste 108
Northridge, CA 91324
Phone (818) 718-1737

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1788912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788912000000",
    "number": "1093625428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8619 RESEDA BLVD STE 108",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244060",
            "telephone_number": "818-718-1737",
            "fax_number": "818-337-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8619 RESEDA BLVD STE 108",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244060",
            "telephone_number": "818-718-1737",
            "fax_number": "818-337-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J RUDOLPH DDS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-09",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A",
        "authorized_official_last_name": "RUDOLPH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "913-745-7373",
        "authorized_official_credential": "DDS MS PHD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.