Organization Active NPI

Megan Rustad, DDS Inc

  • Endodontics
  • Santa Monica, CA
National Provider Identifier
1396124368
Registry record updated May 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
57250 Issued in CA
Legal business name
MEGAN RUSTAD, DDS INC
Practice address
1502 Montana Ave Ste 205
Santa Monica, CA 90403-1873
Phone
(310) 621-4399
NPI assigned
May 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2015

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

Authorized official

Name
Dr. Megan Rustad, DDSNPI 1871759332
Title
Endodontist
Phone
(310) 621-4399

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223E0200X 57250 CA Primary

Addresses

Primary practice location

1502 Montana Ave Ste 205
Santa Monica, CA 90403-1873

Mailing address

1502 Montana Ave Ste 205
Santa Monica, CA 90403-1873

National Provider Directory

National Provider Directory

Locations

1502 Montana Ave
Ste 205
Santa Monica, CA 90403
Phone (310) 621-4399

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1432425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1396124368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 MONTANA AVE STE 205",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 MONTANA AVE STE 205",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031873",
            "telephone_number": "310-621-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEGAN RUSTAD, DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-24",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "RUSTAD",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "ENDODONTIST",
        "authorized_official_telephone_number": "310-621-4399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "57250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; 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.