Chang Ruttencutter PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

CHANG RUTTENCUTTER PC

Doing business as

Uptown Dentistry of Morton Grove

Practice address

9147 Waukegan Rd
Morton Grove, IL 60053-2120

Phone

(312) 952-7005

NPI assigned

Feb 12, 2025

Last updated

Feb 12, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Ruttencutter, DDS PHDNPI 1770802688

Title

President

Phone

(312) 952-7005

Specialties & licenses 1

Addresses

Other names 1

• Uptown Dentistry of Morton Grove Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jeffrey A Ruttencutter, DDS PHD

  • General Practice Dentistry
  • Park Ridge, IL
  • NPI 1770802688
  NPD Authorized official

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

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1336954502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 WAGNER RD",
            "address_2": "C/O JEFF RUTTENCUTTER",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "60025",
            "telephone_number": "312-952-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9147 WAUKEGAN RD",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532120",
            "telephone_number": "312-952-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANG RUTTENCUTTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "RUTTENCUTTER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-952-7005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PHD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Uptown Dentistry of Morton Grove",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Morton Grove, IL
• Providers in Morton Grove, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.