NPIMap

Organization Active NPI

Ryan Rush DDS PLLC

  • Dentist
  • Fort Collins, CO
National Provider Identifier
1558744227
Registry record updated Jun 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DEN.00202281 Issued in CO
Legal business name
RYAN RUSH DDS PLLC
Practice address
383 W Drake Rd Ste 101
Fort Collins, CO 80526-2884
Phone
(970) 223-5393
NPI assigned
Jun 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2015

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

Authorized official

Name
Ryan Rush, D.D.S.NPI 1750694907
Title
Owner/DDS
Phone
(970) 223-5393

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DEN.00202281 CO Primary

Addresses

Primary practice location

383 W Drake Rd Ste 101
Fort Collins, CO 80526-2884

Mailing address

383 W Drake Rd Ste 101
Fort Collins, CO 80526-2884
Phone (970) 223-5393

National Provider Directory

National Provider Directory

Locations

383 W Drake Rd
Ste 101
Fort Collins, CO 80526
Phone (970) 223-5393

Practitioners & affiliated clinicians

Practitioners 2

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": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1558744227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 W DRAKE RD STE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262884",
            "telephone_number": "970-223-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 W DRAKE RD STE 101",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262884",
            "telephone_number": "970-223-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN RUSH DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER/DDS",
        "authorized_official_telephone_number": "970-223-5393",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00202281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.