Active NPI
Richard E. Rutledge, D.D.S.
- Endodontics
- Lackland Afb, TX
National Provider Identifier
1669444964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 12007955A
- Practice address
- 2200 Berquist Drive, Suite 1
Lackland Afb, TX 78236-5300 - Phone
- (210) 292-7282
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 12007955A | IN | Primary |
Addresses
Primary practice location
2200 Berquist Drive, Suite 1
Lackland Afb, TX 78236-5300
Mailing address
7530 Steeple Dr
San Antonio, TX 78256-1654
Phone (210) 698-9794
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12007955A | IN | MD | Endodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usaf | Past | 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.
-
- Military Hospital
- Lackland Afb, TX
- NPI 1861470957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1669444964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7530 STEEPLE DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782561654",
"telephone_number": "210-698-9794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 BERQUIST DRIVE, SUITE 1",
"city": "LACKLAND AFB",
"state": "TX",
"postal_code": "782365300",
"telephone_number": "210-292-7282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTLEDGE",
"first_name": "RICHARD",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "IN",
"license": "12007955A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lackland Afb, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.