Richard R. Rutkowski, D.D.S., P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901010965 Issued in MI

Legal business name

RICHARD R. RUTKOWSKI, D.D.S., P.C.

Practice address

2812 S 11TH St
Niles, MI 49120-4422

Phone

(269) 683-6331

Fax

(269) 683-3411

NPI assigned

Jan 12, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Richard Ronald Rutkowski, D.D.S.NPI 1194803502

Title

Owner

Phone

(269) 683-6331

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Richard Ronald Rutkowski, D.D.S.

  • General Practice Dentistry
  • Niles, MI
  • NPI 1194803502
  NPD (past) Authorized official

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

{
    "created_epoch": "1484179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484179200000",
    "number": "1295271393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 S 11TH ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491204422",
            "telephone_number": "269-683-6331",
            "fax_number": "269-683-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 S 11TH ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491204422",
            "telephone_number": "269-683-6331",
            "fax_number": "269-683-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD R. RUTKOWSKI, D.D.S., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-12",
        "last_updated": "2017-01-12",
        "status": "A",
        "authorized_official_last_name": "RUTKOWSKI",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-683-6331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901010965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Reed, R.N.
• Kandace Reeves
• Charles H Rhodes, M.D.
• Raquel Rich
• Richard L. Beckermeyer, D. D. S., P.C.
• Sierra Lynn Richer, CNM
• Craig A. Rigler, M.A. CCC-A AUDIOLOGY
• Crissen Ritchey
• Rite Aid of Michigan Inc
• Thomas L Ritter, MD

• General Practice Dentistry in Niles, MI
• Providers in Niles, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; 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.