Cristina L Rust DMD LLC

Primary specialty

DentistTaxonomy code 122300000X

License

D-9483 Issued in OR

Legal business name

CRISTINA L RUST DMD LLC

Doing business as

Cedar Creek Dental

Practice address

11786 SW Barnes Rd
Suite 360
Portland, OR 97225-5925

Phone

(503) 646-1811

Fax

(503) 924-1698

NPI assigned

Sep 20, 2012

Last updated

Sep 20, 2012By 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. Cristina L Rust, DMD

Title

Owner

Phone

(503) 646-1811

Specialties & licenses 1

Addresses

Other names 1

• Cedar Creek Dental Doing business as

Practitioners 1

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.

• Cristina L Waterman, DMD

  • General Practice Dentistry
  • Portland, OR
  • NPI 1932400660
  NPD (past)

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348099200000",
    "number": "1154672897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11786 SW BARNES RD",
            "address_2": "SUITE 360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255925",
            "telephone_number": "503-646-1811",
            "fax_number": "503-924-1698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11786 SW BARNES RD",
            "address_2": "SUITE 360",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255925",
            "telephone_number": "503-646-1811",
            "fax_number": "503-924-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISTINA L RUST DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-20",
        "last_updated": "2012-09-20",
        "status": "A",
        "authorized_official_last_name": "RUST",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-646-1811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OR",
            "license": "D-9483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Creek Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathy Ann Crispell, MD
• Julie A Crispin, L.M.T.
• Audrey A Crist, MD
• Marsha Sharyn Cristales-Fontaine
• Regina Anne Cristan, INTERN
• Cynthia B Cristofani, MD
• Janelle Jean Cristofaro
• Carol Lipson Criswell
• Rex Allen Crites, D.C.
• Keri Crittenden, LMT

• Dentist in Portland, OR
• Providers in Portland, OR by specialty
• Dentist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.