Rutkowski & Fung, DDS, DMD, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

RUTKOWSKI & FUNG, DDS, DMD, PLLC

Practice address

2125 Green Vista Dr Ste 104
Sparks, NV 89431-8515

Phone

(630) 337-9037

NPI assigned

Nov 14, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Philip Rutkowski, DDS

Title

Orthodontist

Phone

(248) 217-5004

Specialties & licenses 1

Addresses

Other names 1

• The Smile Studio Doing business as

Locations

Practitioners 2

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

• Kevin Jay Andrews, D.D.S.,M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sparks, NV
  • NPI 1023749157
  NPD
• Katharina S Fung, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Sparks, NV
  • NPI 1497106199
  NPD

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

{
    "created_epoch": "1731542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1386468403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 GREEN VISTA DR STE 104",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894318515",
            "telephone_number": "775-674-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 GREEN VISTA DR STE 104",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894318515",
            "telephone_number": "630-337-9037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15405 Wedge Pkwy Ste 120",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895113314",
            "country_code": "US",
            "telephone_number": "630-337-9037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RUTKOWSKI & FUNG, DDS, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-14",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "RUTKOWSKI",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "248-217-5004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Smile Studio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Smile Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Rue
• Ruggiero and Francis Dentistry
• Breanna Marie Runnells
• Jenna Rupp
• Kiersten Russell
• Bonnie C Ryan Blaney
• Samantha Ryckebosch
• Zoe Anna Sabal
• Eve Sachs
• Johnathan Saderlund

• Orthodontics and Dentofacial Orthopedics Dentistry in Sparks, NV
• Providers in Sparks, NV by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; 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.