Rushing Family Dentistry PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3276 Issued in MS

Legal business name

RUSHING FAMILY DENTISTRY PA

Practice address

3738 Flowood Drive
Flowood, MS 39232

Phone

(601) 936-3430

Fax

(601) 936-3431

NPI assigned

Nov 6, 2006

Last updated

Jun 30, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carla Rushing, DMDNPI 1942495155

Title

Owner/Dentist

Phone

(601) 936-3430

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carla S Rushing, D.M.D.

  • General Practice Dentistry
  • Flowood, MS
  • NPI 1942495155
  NPD (past) Authorized official

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1619056892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3738 FLOWOOD DRIVE",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "601-936-3430",
            "fax_number": "601-936-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3738 FLOWOOD DRIVE",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "39232",
            "telephone_number": "601-936-3430",
            "fax_number": "601-936-3431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSHING FAMILY DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "RUSHING",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "601-936-3430",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "3276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04735320",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "194169",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "1614718",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas G Rummells Jr., DMD
• Runnels Plastic Surgery Center LLC
• John Matthew Runnels, MD
• Rudolph Scott Runnels Jr., MD
• Johnnie T Rush
• Carla S Rushing, D.M.D.
• John Rushing, M.D.
• Marcelo J Ruvinsky, MD
• RX 4 Life
• Sal-Liz Inc

• General Practice Dentistry in Flowood, MS
• Providers in Flowood, MS by specialty
• General Practice Dentistry in Mississippi

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