Arian Rrushaj, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

019.032837 Issued in IL

Practice address

9016 N Allen Rd Ste B
Peoria, IL 61615-1560

Phone

(309) 690-4500

NPI assigned

Jul 24, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Associates in Dentistry

  • Dentist
  • Peoria, IL
  • NPI 1538241278
  NPD (past)

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595548800000",
    "number": "1497364517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 W GARFIELD AVE",
            "city": "BARTONVILLE",
            "state": "IL",
            "postal_code": "616071755",
            "telephone_number": "309-697-5680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9016 N ALLEN RD STE B",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151560",
            "telephone_number": "309-690-4500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 N Rose St",
            "address_purpose": "LOCATION",
            "city": "Elmwood",
            "state": "IL",
            "postal_code": "615297909",
            "country_code": "US",
            "telephone_number": "309-742-2071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RRUSHAJ",
        "first_name": "ARIAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-24",
        "last_updated": "2020-07-24",
        "certification_date": "2020-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.032837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA DENTAL AND DENTAL NETWORK OF AMERICA",
            "identifier": "019.032837",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rowland
• Aimee Marie Roy, SLP
• Ansaf Alamin Roy
• Ashish Kumar Roy
• Moni Roy, M.D.
• Nichole Elizabeth Ruddell, MS, BCBA
• Rachel Rude
• Renee Nichole Ruder, FNP-C
• Kaitlyn Rudolph
• Neal W Rudy, MD

• Dentist in Peoria, IL
• Providers in Peoria, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; 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.