Active NPI
Jonathan Wade Rucker, DDS, MS
- Orthodontics and Dentofacial Orthopedics Dentistry
- Temecula, CA
National Provider Identifier
1124308770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 62059
- Practice address
- 31560 Rancho Pueblo Rd
201
Temecula, CA 92592-4858 - Phone
- (951) 302-0685
- NPI assigned
- Aug 26, 2011
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 62059 | CA | Primary |
Addresses
Primary practice location
31560 Rancho Pueblo Rd
201
Temecula, CA 92592-4858
Mailing address
31560 Rancho Pueblo Rd
201
Temecula, CA 92592-4858
Phone (951) 302-0685
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62059 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jonathan W. Rucker, DDS, Ms, PC | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
| Rucker Orthodontic Specialists a Dental Corp | Orthodontics and Dentofacial Orthopedics | Current | Accepting new patients |
Locations
38605 Calistoga Dr
Ste 250
Murrieta, CA 92563
Phone (951) 302-0685
31560 Rancho Pueblo Rd
Ste 201
Temecula, CA 92592
Phone (804) 878-1069
Organizations & group practices 2
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Temecula, CA
- NPI 1487473013
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Murrieta, CA
- NPI 1699668467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748649600000",
"number": "1124308770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31560 RANCHO PUEBLO RD",
"address_2": "201",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925924858",
"telephone_number": "951-302-0685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31560 RANCHO PUEBLO RD",
"address_2": "201",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925924858",
"telephone_number": "951-302-0685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCKER",
"first_name": "JONATHAN",
"middle_name": "WADE",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-26",
"last_updated": "2025-05-31",
"certification_date": "2025-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "62059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.