Jack A Rusch III, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12010274 Issued in IN

Practice address

340 Parkview Dr
New Castle, IN 47362-2945

Phone

(765) 529-7616

NPI assigned

Jul 21, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Parkview Family Dentistry PC

  • Dentist
  • New Castle, IN
  • NPI 1609984434
  NPD (past) Authorized official
• 96TH Street Family Dentistry LLC

  • General Practice Dentistry
  • Fishers, IN
  • NPI 1124735782
  NPD

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245251636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 PARKVIEW DR",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473622945",
            "telephone_number": "317-727-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 PARKVIEW DR",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473622945",
            "telephone_number": "765-529-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSCH",
        "first_name": "JACK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12010274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Najmeh Rohani, M.D.
• Nikiesha Rollins
• Lindsey R Rolston, M.D
• Kathy Roman St Clair, LCAC
• Adam D. Rosenfeld, DO
• Russell P. Beckett, D.D.S., Inc.
• Frank Matthew Ryan, M.D.
• Samantha Meeks Family Practice
• Amanda Sandoval, CRNA
• Peter William Schram, D.C.

• General Practice Dentistry in New Castle, IN
• Providers in New Castle, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.