David J Rudolph DDS Inc.

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

Organization subpart

No

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

Authorized official

Name

David Rudolph, DDS MS PHD

Title

Owner

Phone

(913) 745-7373

Specialties & licenses 1

Addresses

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": []
}

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• 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.

Verify at the official NPI Registry.