Individual provider Active NPI

Rujuta Palsule, DDS

  • Dentist
  • Cumming, GA
National Provider Identifier
1609449826
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN122401 Issued in GA
Practice address
907 Buford Rd Ste 100
Cumming, GA 30041-2711
Phone
(678) 922-8282
NPI assigned
Jul 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 106448 CA
Dentist 122300000X DN122401 GA Primary

Addresses

Primary practice location

907 Buford Rd Ste 100
Cumming, GA 30041-2711

Mailing address

900 Folsom St Apt 557
San Francisco, CA 94107-2174
Phone (404) 226-1208

Other practice location 1

78 Dawson Village Way N Ste 170
Dawsonville, GA 30534-5643
Phone (678) 941-5151

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
DN122401GAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Smiles Dental Center, P.C. PastSince Aug 15, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1627084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628812800000",
    "number": "1609449826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 FOLSOM ST APT 557",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941072174",
            "telephone_number": "404-226-1208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 BUFORD RD STE 100",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300412711",
            "telephone_number": "678-922-8282"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "78 Dawson Village Way N Ste 170",
            "address_purpose": "LOCATION",
            "city": "Dawsonville",
            "state": "GA",
            "postal_code": "305345643",
            "country_code": "US",
            "telephone_number": "678-941-5151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALSULE",
        "first_name": "RUJUTA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-24",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "106448",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN122401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; 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.