Active NPI
Rusdy Murni, DDS
- Dentist
- Coalinga, CA
National Provider Identifier
1669508123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 40968
- Practice address
- 198 E Elm St
Ste 103
Coalinga, CA 93210 - Phone
- (559) 935-2368
- Fax
- (559) 935-2368
- NPI assigned
- Feb 26, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 40968 | CA | Primary |
| Dentist | 122300000X | 6978 | OR | |
| General Practice Dentistry | 1223G0001X | 24418 | TX |
Addresses
Primary practice location
198 E Elm St
Ste 103
Coalinga, CA 93210
Mailing address
198 E Elm St
Ste 103
Coalinga, CA 93210
Phone (559) 935-2368
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 |
|---|---|---|---|
| 40968 | CA | MD | Dentist |
| 6978 | OR | MD | Dentist |
| 24418 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1669508123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 E ELM ST",
"address_2": "STE 103",
"city": "COALINGA",
"state": "CA",
"postal_code": "93210",
"telephone_number": "559-935-2368",
"fax_number": "559-935-2368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 E ELM ST",
"address_2": "STE 103",
"city": "COALINGA",
"state": "CA",
"postal_code": "93210",
"telephone_number": "559-935-2368",
"fax_number": "559-935-2368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURNI",
"first_name": "RUSDY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "40968",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OR",
"license": "6978",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "24418",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coalinga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.