Shawn P. Rusk D.D.S., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

48542 Issued in CA

Legal business name

SHAWN P. RUSK D.D.S., INC.

Practice address

3410 McCall Ave
Suite 104
Selma, CA 93662-2500

Phone

(559) 896-2445

Fax

(559) 896-3259

NPI assigned

Feb 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Shawn Patrick Rusk, D.D.S.NPI 1912045311

Title

President

Phone

(559) 896-2445

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shawn Patrick Rusk, D.D.S.

  • General Practice Dentistry
  • Selma, CA
  • NPI 1912045311
  NPD (past) Authorized official
• Galen Glenn Rusk, DDS

  • General Practice Dentistry
  • Selma, CA
  • NPI 1427159086
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154469567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 MCCALL AVE",
            "address_2": "SUITE 104",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936622500",
            "telephone_number": "559-896-2445",
            "fax_number": "559-896-3259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 MCCALL AVE",
            "address_2": "SUITE 104",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936622500",
            "telephone_number": "559-896-2445",
            "fax_number": "559-896-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWN P. RUSK D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSK",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-896-2445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "48542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selma Unified School District
• Norman Senzaki, D.D.S.
• Paulina Agabo Serrano
• Bimalroy N. Shah, MD
• Shailesh Shetty, M.D., Inc. (Central California Cardiovascular)
• Shailesh Shetty, MD
• Arlene Shipman, NP
• Sierra View Family Clinic Inc
• Gabriel Aaron Sifuentes
• Navjot Sihota, D.D.S

• General Practice Dentistry in Selma, CA
• Providers in Selma, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.