Jay Carson Rutz, D.M.D., M.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

5864 Issued in LA

Practice address

4520 Clearview Pkwy
Metairie, LA 70006-2308

Phone

(504) 885-0177

Fax

(504) 888-3581

NPI assigned

Aug 20, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Garrett B Morris DDS LLC

  • Endodontics
  • Metairie, LA
  • NPI 1902905912
  NPD (past)

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

{
    "created_epoch": "1187568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1396938890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 CLEARVIEW PKWY",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062308",
            "telephone_number": "504-885-0177",
            "fax_number": "504-888-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 CLEARVIEW PKWY",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062308",
            "telephone_number": "504-885-0177",
            "fax_number": "504-888-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTZ",
        "first_name": "JAY",
        "middle_name": "CARSON",
        "name_prefix": "Dr.",
        "credential": "D.M.D., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-20",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "LA",
            "license": "5864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AL",
            "identifier": "670-36552",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russo Chiropractic Clinic
• Angelo Russo, MD
• Courtney L Russo, M.D.
• Dennis Ahlert Russo Jr., DC.
• Sara Russo
• Rebecca Schreiner Ryan, PLPC, MT-BC
• Robert Comel Ryan, MD
• Thomas Baldwin Ryan, M.D.
• Jessica E.R Ryes
• Jonathon Jay Rynning, M.D.

• Endodontics in Metairie, LA
• Providers in Metairie, LA by specialty
• Endodontics in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.