Stephen Ruso, D.D.S., M.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN 19633 Issued in FL

Practice address

1912 W Reynolds St
Plant City, FL 33563-4700

Phone

(813) 567-7001

NPI assigned

Aug 15, 2011

Sex

Male

Sole proprietor

Yes

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

Credentials

Master of Science

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.

• Stephen T. Ruso, D.D.S., M.S., P.L.L.C.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Melbourne, FL
  • NPI 1093243917
  NPD (past) Authorized official
• Coast Dental P.a.

  • Dentist
  • Plant City, FL
  • NPI 1952977290
  NPD (past)
• Coast Dental P.a.

  • Dentist
  • Tampa, FL
  • NPI 1992803860
  NPD (past)

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

{
    "created_epoch": "1313366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353542400000",
    "number": "1285913723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 WESTFIELD DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 W REYNOLDS ST",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335634700",
            "telephone_number": "813-567-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSO",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-15",
        "last_updated": "2012-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN 19633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Rowe, PHARMD
• Royal Silver Wheelchair Transportation LLC
• Diana Weston Rudd, CRNA
• Maura Ruiz
• Victor Ruiz, MD
• Iva Carol Russell, RN
• Saeid Farhadi MD PL
• Safe Place Counseling Center, LLC
• Sage Dental of Plant City PLLC
• Fauchard Saint-Hilaire, COTA/L-CLT

• Orthodontics and Dentofacial Orthopedics Dentistry in Plant City, FL
• Providers in Plant City, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.