Elizabeth S Rudroff, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

2022005260 Issued in MO

Practice address

13541 Madison Ave
Kansas City, MO 64145-1669

Phone

(816) 942-0033

NPI assigned

Jul 2, 2018

Last updated

Aug 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: elewis55539@ukhcdirect.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alex Sharifian DDS Madison Dental Group PC

  dba Madison Dental Group

  • General Practice Dentistry
  • Kansas City, MO
  • NPI 1457788135
  NPD (past)
• Central Kentucky Sedation PLLC

  • Pediatric Anesthesiology Physician
  • Lexington, KY
  • NPI 1508550088
  NPD (past)

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

{
    "created_epoch": "1530489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661126400000",
    "number": "1467948547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13541 MADISON AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451669",
            "telephone_number": "816-942-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13541 MADISON AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451669",
            "telephone_number": "816-942-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDROFF",
        "first_name": "ELIZABETH",
        "middle_name": "S",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-02",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "7103",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "KY",
            "license": "10553",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "MO",
            "license": "2022005260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ruck, C-AA
• Samantha A. Ruder, FNP-BC
• Shelly Ruder, LMSW
• Tyler Rudisill
• Charles Rudolph III, O.D.
• Steve A Rueb, DDS
• Sumiko Rueger
• Ashley Ruegsegger, APRN
• Valerie Leeann Ruehter, PHARMD, BCPP
• Lawrence A Rues, MD

• Pediatric Dentistry in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Pediatric Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; 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.