Frederick Rutherford, D.D.S., Inc.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

31174 Issued in CA

Legal business name

FREDERICK RUTHERFORD, D.D.S., INC.

Practice address

9515 Culver Blvd.
Suite 200
Culver City, CA 90323

Phone

(323) 937-0450

NPI assigned

Mar 19, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Frederick Rutherford, D.D.S.

Title

Ceo

Phone

(323) 937-0450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1508283227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5174",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902315174",
            "telephone_number": "323-937-0450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 CULVER BLVD.",
            "address_2": "SUITE 200",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "90323",
            "telephone_number": "323-937-0450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK RUTHERFORD, D.D.S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "RUTHERFORD",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-937-0450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "31174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leo Marcus Franklin
• Heather Dee Frankovich, MA, MFT
• Jodie Beth Fratantuno, DOULA
• Yvette Frausto
• Hannah Frazee
• Fredi the Doula LLC
• Freedom Assembly
• Lakesha Freeman
• Otis C Freeman
• Shelley Elizabeth Freeman, NP

• Oral and Maxillofacial Surgery (Dentist) in Culver City, CA
• Providers in Culver City, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.