NPIMap

Organization Active NPI

Raulerson, Ruscin & Schreier Dental Associates, PA

  • General Practice Dentistry
  • Brandon, FL
National Provider Identifier
1174647200
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RAULERSON, RUSCIN & SCHREIER DENTAL ASSOCIATES, PA
Practice address
1409 W Brandon Blvd
Brandon, FL 33511-4803
Phone
(813) 681-7183
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Randy Ruscin, DMDNPI 1821436577
Title
Sec. Treasurer
Phone
(813) 681-7183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

1409 W Brandon Blvd
Brandon, FL 33511-4803

Mailing address

1409 W Brandon Blvd
Brandon, FL 33511-4803

National Provider Directory

National Provider Directory

Locations

1409 W Brandon Blvd
Brandon, FL 33511
Phone (813) 681-7183

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174647200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 W BRANDON BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 W BRANDON BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114803",
            "telephone_number": "813-681-7183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAULERSON, RUSCIN & SCHREIER DENTAL ASSOCIATES, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSCIN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "SEC. TREASURER",
        "authorized_official_telephone_number": "813-681-7183",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • 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.