Organization Active NPI

Rivard & Ruder DDS PC

  • General Practice Dentistry
  • Kearney, MO
National Provider Identifier
1598022170
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RIVARD & RUDER DDS PC
Practice address
171 S Platte Clay Way
Kearney, MO 64060-7649
Phone
(816) 628-2737
Fax
(816) 903-2770
NPI assigned
Apr 19, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Reba A Hensley
Title
Insurance Coordinator
Phone
(816) 628-2737

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

171 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-2737

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

NPPES NPI Registry

Primary practice location

171 S Platte Clay Way
Kearney, MO 64060-7649

Mailing address

171 S Platte Clay Way
Kearney, MO 64060-7649
Phone (816) 628-2737

Other names 1

NPPES NPI Registry
  • Healthy Smile Dental Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 19, 2012.

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1598022170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 S PLATTE CLAY WAY",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640607649",
            "telephone_number": "816-628-2737",
            "fax_number": "816-903-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 S PLATTE CLAY WAY",
            "city": "KEARNEY",
            "state": "MO",
            "postal_code": "640607649",
            "telephone_number": "816-628-2737",
            "fax_number": "816-903-2770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVARD & RUDER DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "HENSLEY",
        "authorized_official_first_name": "REBA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "816-628-2737",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Smile Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kearney, MO

Sources for this page

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