Individual provider Active NPI

Kristine Marie Rushby, DMD

  • Dentist
  • King of Prussia, PA
National Provider Identifier
1578773362
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS037248 Issued in PA
Practice address
357 S Gulph Rd
Suite 100
King of Prussia, PA 19406-3174
Phone
(610) 337-2325
Fax
(610) 337-3863
NPI assigned
May 23, 2007
Last updated
Jan 3, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS037248 PA Primary

Addresses

Primary practice location

357 S Gulph Rd
Suite 100
King of Prussia, PA 19406-3174

Mailing address

357 S Gulph Rd
Suite 100
King of Prussia, PA 19406-3174
Phone (610) 337-2325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS037248PAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Merion Dental Associates P C Past Accepting new patients
Upper Merion Periodontal Associates Past Accepting new patients

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1578773362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 S GULPH RD",
            "address_2": "SUITE 100",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063174",
            "telephone_number": "610-337-2325",
            "fax_number": "610-337-3863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 S GULPH RD",
            "address_2": "SUITE 100",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063174",
            "telephone_number": "610-337-2325",
            "fax_number": "610-337-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHBY",
        "first_name": "KRISTINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS037248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.