Active NPI
Sarah Elizabeth Ruzicka, RDH
- Dental Hygienist
- Redding, CA
National Provider Identifier
1154016129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 29114
- Practice address
- 1035 Placer St
Redding, CA 96001-1170 - Phone
- (530) 246-5710
- NPI assigned
- Apr 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 1080 | CA | |
| Dental Hygienist | 124Q00000X | 29114 | CA | Primary |
Addresses
Primary practice location
1035 Placer St
Redding, CA 96001-1170
Mailing address
2578 Eastbrook Dr
Redding, CA 96002-5146
Phone (530) 209-0487
Other practice location 1
2578 Eastbrook Dr
Redding, CA 96002-5146
Phone (530) 209-0487
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1080 | CA | MD | Community Health Worker |
| 29114 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1154016129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2578 EASTBROOK DR",
"city": "REDDING",
"state": "CA",
"postal_code": "960025146",
"telephone_number": "530-209-0487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 PLACER ST",
"city": "REDDING",
"state": "CA",
"postal_code": "960011170",
"telephone_number": "530-246-5710"
}
],
"practiceLocations": [
{
"address_1": "2578 Eastbrook Dr",
"address_purpose": "LOCATION",
"city": "Redding",
"state": "CA",
"postal_code": "960025146",
"country_code": "US",
"telephone_number": "530-209-0487",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUZICKA",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-06",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "1080",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "CA",
"license": "29114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.