Amy E Rust, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

04311 Issued in NH

Practice address

345 Village St
Penacook, NH 03303-4516

Phone

(603) 753-6371

NPI assigned

Jun 12, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amy E Landry Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Paparian Dental Associates, P.C.

  • General Practice Dentistry
  • Salem, NH
  • NPI 1356336564
  NPD (past)
• Soheila Degieux DDS Inc

  • General Practice Dentistry
  • Penacook, NH
  • NPI 1487868972
  NPD (past)

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

{
    "created_epoch": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573344000000",
    "number": "1386174464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 RATTLESNAKE HILL RD",
            "city": "AUBURN",
            "state": "NH",
            "postal_code": "030323733",
            "telephone_number": "603-818-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 VILLAGE ST",
            "city": "PENACOOK",
            "state": "NH",
            "postal_code": "033034516",
            "telephone_number": "603-753-6371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Main St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "NH",
            "postal_code": "030793170",
            "country_code": "US",
            "telephone_number": "603-893-1455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUST",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2019-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "04311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "LANDRY",
            "middle_name": "E",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Penacook Pharmacy LLC
• Stephanie Pierce, APRN
• Heather Lee Pothier
• Semon Farida Basar Randall
• Samuel T Roedell, BA
• Venord Saint-Val, BA
• Margarita Shugol, DO
• W. Kent Smith, MD
• Soheila Degieux DDS Inc
• Myles St Jonn, FNP

• General Practice Dentistry in Penacook, NH
• Providers in Penacook, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2019; 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.