Individual provider Active NPI

Jonathan Wade Rucker, DDS, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Temecula, CA
National Provider Identifier
1124308770
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
62059 Issued in CA
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

Updated by the provider on May 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
62059CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jonathan W. Rucker, DDS, Ms, PC Orthodontics and Dentofacial Orthopedics CurrentSince Oct 13, 2024 Accepting new patients
Rucker Orthodontic Specialists a Dental Corp Orthodontics and Dentofacial Orthopedics CurrentSince Jun 3, 2025 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.

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.

Verify at the official NPI Registry.