Lundon Rusty Albrecht, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.023227 Issued in OH

Practice address

9659 Old Johnnycake Ridge Rd
Mentor, OH 44060-6520

Phone

(440) 358-0495

Fax

(440) 358-0496

NPI assigned

Jun 25, 2010

Last updated

Jun 25, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rusty M. Albrecht, D.D.S., Inc

  • Dental Clinic/Center
  • Concord TWP, OH
  • NPI 1104739242
  NPD (past)

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1144531005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9659 OLD JOHNNYCAKE RIDGE RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606520",
            "telephone_number": "440-358-0495",
            "fax_number": "440-358-0496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9659 OLD JOHNNYCAKE RIDGE RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606520",
            "telephone_number": "440-358-0495",
            "fax_number": "440-358-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBRECHT",
        "first_name": "LUNDON",
        "middle_name": "RUSTY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.023227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blanca Aguirre, MA
• Samir Ahuja, MD
• Phillip James Ajlouny, DO
• Al Saad Dental LLC
• Nancy L Albanese, CNP
• Rusty Mark Albrecht, DDS
• Georgia Alexander
• Leigh Alexander, DPT
• Algirdas V. Budrys D.D.S. Inc.
• Amber Aliberti

• General Practice Dentistry in Mentor, OH
• Providers in Mentor, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.