Briana Lynn Ruszkiewicz, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401417556 Issued in VA

Practice address

104 Southern Ave
Raeford, NC 28376-3218

Phone

(910) 875-4008

NPI assigned

Mar 27, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ryan, James, Wiles, Patel & Olsen LLP

  • Dentist
  • Fayetteville, NC
  • NPI 1346473279
  NPD (past)
• Ryan, James, Wiles, Patel & Olsen LLP

  • Dentist
  • Fayetteville, NC
  • NPI 1750495693
  NPD (past)

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

{
    "created_epoch": "1616803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1275110975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 WOODHILL DR",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449230",
            "telephone_number": "724-255-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 SOUTHERN AVE",
            "city": "RAEFORD",
            "state": "NC",
            "postal_code": "283763218",
            "telephone_number": "910-875-4008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2029 Valleygate Dr",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283043771",
            "country_code": "US",
            "telephone_number": "910-485-8884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSZKIEWICZ",
        "first_name": "BRIANA",
        "middle_name": "LYNN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-27",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401417556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockfish Pharmacy Inc
• Brian Patrick Rose, PAC
• Joshua Michael Rosinski, D.C.
• Kelly S Rossi, LCSW
• Jill Ann Roy
• Ryan, James, Wiles, Patel & Olsen LLP
• S & R Healthcare, Inc.
• Safe Journey Solutions, LLC
• Hannah Jo Sahli-Carter, DPM
• Tisha Elaine Perez Salas

• General Practice Dentistry in Raeford, NC
• Providers in Raeford, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.