Organization Active NPI

Jonathan W. Rucker, DDS, Ms, PC

Doing business as Rucker Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Temecula, CA
National Provider Identifier
1487473013
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
JONATHAN W. RUCKER, DDS, MS, PC
Doing business as
Rucker Orthodontics
Practice address
31560 Rancho Pueblo Rd Ste 201
Temecula, CA 92592-4850
Phone
(804) 878-1069
NPI assigned
Oct 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Dr. Jonathan Rucker, DDSNPI 1124308770
Title
Owner
Phone
(804) 878-1069

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
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X Primary

Addresses

Primary practice location

31560 Rancho Pueblo Rd Ste 201
Temecula, CA 92592-4850

Mailing address

31560 Rancho Pueblo Rd Ste 201
Temecula, CA 92592-4850
Phone (804) 878-1069

Other names 1

  • Rucker Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

31560 Rancho Pueblo Rd
Ste 201
Temecula, CA 92592
Phone (804) 878-1069

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": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1487473013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31560 RANCHO PUEBLO RD STE 201",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924850",
            "telephone_number": "804-878-1069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31560 RANCHO PUEBLO RD STE 201",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924850",
            "telephone_number": "804-878-1069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN W. RUCKER, DDS, MS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-878-1069",
        "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": "Rucker Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.