Individual provider Active NPI

Norman E Ruediger, DDS

  • General Practice Dentistry
  • Topeka, KS
National Provider Identifier
1417903543
Registry record updated Mar 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4862 Issued in KS
Practice address
2037 SE 29TH St
Topeka, KS 66605-2457
Phone
(785) 267-9500
Fax
(785) 267-9505
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4862 KS Primary

Addresses

Primary practice location

2037 SE 29TH St
Topeka, KS 66605-2457

Mailing address

2037 SE 29TH St
Topeka, KS 66605-2457
Phone (785) 267-9500

Other identifiers 3

IdentifierTypeStateIssuer
845235OtherKSUNITED CONCORDIA
100097270CMedicaidKS
9177397OtherKSDORAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4862KSMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427328000000",
    "number": "1417903543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 SE 29TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666052457",
            "telephone_number": "785-267-9500",
            "fax_number": "785-267-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 SE 29TH ST",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666052457",
            "telephone_number": "785-267-9500",
            "fax_number": "785-267-9505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEDIGER",
        "first_name": "NORMAN",
        "middle_name": "E",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2015-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "4862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "845235",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100097270C",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9177397",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

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