Individual provider Active NPI

Nathan Corey Rusher, DMD

  • General Practice Dentistry
  • Mt Sterling, KY
National Provider Identifier
1487930483
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
9040 Issued in KY
Practice address
635 N. Maysville St.
Ste B
Mount Sterling, KY 40353
Phone
(859) 498-1215
Fax
(859) 498-8160
NPI assigned
Oct 24, 2011
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 9040 KY Primary

Addresses

Primary practice location

635 N. Maysville St.
Ste B
Mount Sterling, KY 40353

Mailing address

209 N Maysville St Ste 200
Mount Sterling, KY 40353-1179
Phone (859) 404-7686

Other practice location 1

25 E High St
Mount Sterling, KY 40353-1267
Phone (859) 498-1215

Other practice location 2

25 E High St
Mount Sterling, KY 40353-1267
Phone (859) 498-1215

Other identifiers 1

IdentifierTypeStateIssuer
7100478790MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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

Enrollment IDStateProvider typePAC IDDetails
I20170816004086 KY Order and Referring Only - DentistPractitioner - Dentist 1951673565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Health Solutions Inc Past Accepting new patients
Sterling Health Solutions Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nathan.rusher.1@25737.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1487930483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 N MAYSVILLE ST STE 200",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "403531179",
            "telephone_number": "859-404-7686",
            "fax_number": "859-498-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 N. MAYSVILLE ST.",
            "address_2": "STE B",
            "city": "MOUNT STERLING",
            "state": "KY",
            "postal_code": "40353",
            "telephone_number": "859-498-1215",
            "fax_number": "859-498-8160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25 E High St",
            "address_purpose": "LOCATION",
            "city": "Mount Sterling",
            "state": "KY",
            "postal_code": "403531267",
            "country_code": "US",
            "telephone_number": "859-498-1215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 E High St",
            "address_purpose": "LOCATION",
            "city": "Mount Sterling",
            "state": "KY",
            "postal_code": "403531267",
            "country_code": "US",
            "telephone_number": "859-498-1215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSHER",
        "first_name": "NATHAN",
        "middle_name": "COREY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "9040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100478790",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Sterling, KY

Sources for this page

Verify at the official NPI Registry.