Active NPI
Charles S. Rutherford, M.D.
- Orthopaedic Surgery Physician
- Dallas, TX
National Provider Identifier
1285625327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- F7125
- Practice address
- 7777 Forest LN
Ste. C-300G
Dallas, TX 75230-2571 - Phone
- (972) 566-5564
- Fax
- (972) 566-3556
- NPI assigned
- Oct 28, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | F7125 | TX | |
| Orthopaedic Surgery Physician | 207X00000X | F7125 | TX | Primary |
| Orthopaedic Hand Surgery Physician | 207XS0106X | F7125 | TX | |
| Orthopaedic Trauma Physician | 207XX0801X | F7125 | TX |
Addresses
Primary practice location
7777 Forest LN
Ste. C-300G
Dallas, TX 75230-2571
Mailing address
7777 Forest LN
Ste. C-300G
Dallas, TX 75230-2571
Phone (972) 566-5564
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123776005 | Medicaid | TX | |
| 8A5013 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F7125 | TX | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Joint Institute, PLLC | Orthopaedic Surgery | Past | Accepting new patients |
Interoperability endpoints
- 5278-rutherford-charles@direct.leadingreach.com
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Dallas, TX
- NPI 1700160744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444953600000",
"number": "1285625327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7777 FOREST LN",
"address_2": "STE. C-300G",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302571",
"telephone_number": "972-566-5564",
"fax_number": "972-566-3556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7777 FOREST LN",
"address_2": "STE. C-300G",
"city": "DALLAS",
"state": "TX",
"postal_code": "752302571",
"telephone_number": "972-566-5564",
"fax_number": "972-566-3556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTHERFORD",
"first_name": "CHARLES",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-28",
"last_updated": "2015-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "TX",
"license": "F7125",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "F7125",
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "TX",
"license": "F7125",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "TX",
"license": "F7125",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123776005",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8A5013",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.