Robert Glen Rust Jr., D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5435 Issued in OR

Practice address

358 E 40TH Ave
Eugene, OR 97405-3404

Phone

(541) 342-1072

Fax

(541) 342-2618

NPI assigned

Sep 30, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1191110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191110400000",
    "number": "1558558973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 E 40TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053404",
            "telephone_number": "541-342-1072",
            "fax_number": "541-342-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 E 40TH AVE",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053404",
            "telephone_number": "541-342-1072",
            "fax_number": "541-342-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUST",
        "first_name": "ROBERT",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-30",
        "last_updated": "2007-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "5435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Michael John Russell, PA
• Kelly Hanh Russell, PA-C
• Marie Christine Russell
• Nicholas Joseph Russo
• Sarah Russo, RN IBCLC
• Lisa A Ruth, MAT, ATR-P
• Ruth'S Foundations Shop
• Barbara Rutherford
• Leonard Grant Rutherford, DC
• River Rutledge

• General Practice Dentistry in Eugene, OR
• Providers in Eugene, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2007; 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.