Amy Rusinoski, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DS039933 Issued in PA

Practice address

244 College Ave
Beaver, PA 15009-2706

Phone

(724) 888-2684

NPI assigned

Jun 21, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dentistry for Kids

  • Pediatric Dentistry
  • Beaver, PA
  • NPI 1669847521
  NPD (past)

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514505600000",
    "number": "1669735841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 COLLEGE AVE",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092706",
            "telephone_number": "724-888-2684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 COLLEGE AVE",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150092706",
            "telephone_number": "724-888-2684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSINOSKI",
        "first_name": "AMY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-21",
        "last_updated": "2017-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NV",
            "license": "6214",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS039933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane S Rosenkranz, M. ED.
• Lisa Violi Ross, M.D.
• Aditi Roy, MD
• Robert J Rozman, LSW
• Rosemary Rush, LCSW
• Richard Dean Russ, LMT
• Lauren R Ryan, PA-C
• Yuval Rykaczewski, DO
• Trisha Louise Sanders, PA-C
• Paula Jean Sandoe, AUDIOLOGIST

• Pediatric Dentistry in Beaver, PA
• Providers in Beaver, PA by specialty
• Pediatric Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; 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.