Daniel Bruce Rudd, D.D.S, M.S.D

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DD3786 Issued in NM

Practice address

4320 Ridgecrest Dr SE Ste E
Rio Rancho, NM 87124-5971

Phone

(505) 891-1151

NPI assigned

Nov 28, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Chartier Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Rio Rancho, NM
  • NPI 1780817692
  NPD (past)

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

{
    "created_epoch": "1354060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354060800000",
    "number": "1124363379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 RIDGECREST DR SE STE E",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 RIDGECREST DR SE STE E",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871245971",
            "telephone_number": "505-891-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDD",
        "first_name": "DANIEL",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "D.D.S, M.S.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-28",
        "last_updated": "2012-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NM",
            "license": "DD3786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Roth
• Lauren M Roverse, OD
• Anita M Roybal, MD
• Katherine Therese Royer, LPCC, NCC
• Amanda M Rubio, BMS
• Therese Ann Ruddell, CNP
• Samantha Rue
• Gina Marie Ruiz
• Karina Ruiz
• Tara Ruiz

• Orthodontics and Dentofacial Orthopedics Dentistry in Rio Rancho, NM
• Providers in Rio Rancho, NM by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; 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.