Evan Lee Rurak, D.M.D.

Primary specialty

DentistTaxonomy code 122300000X

License

0401416089 Issued in VA

Practice address

1305 Rodman Ave
Portsmouth, VA 23707-3916

Phone

(757) 397-3296

NPI assigned

Aug 28, 2016

Sex

Male

Sole proprietor

Yes

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

Locations

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.

• Morrison Dental Group Portsmouth PLLC

  • Dental Clinic/Center
  • Portsmouth, VA
  • NPI 1124748280
  NPD
• DRS Wiggins and Rhodes LTD

  • Dentist
  • Portsmouth, VA
  • NPI 1437236932
  NPD (past)

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1679029904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 RODMAN AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073916",
            "telephone_number": "757-397-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 RODMAN AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237073916",
            "telephone_number": "757-397-3296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "337 Savannah Highway",
            "address_2": "Unit 511",
            "address_purpose": "LOCATION",
            "city": "Beaufort",
            "state": "SC",
            "postal_code": "299066738",
            "country_code": "US",
            "telephone_number": "978-387-6666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RURAK",
        "first_name": "EVAN",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-28",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "VA",
            "license": "0401416089",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "9838416-9921",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Floyd Ruescher
• Steven C Ruescher, DC
• Therese Ruffin
• Matthew Michael Ruland, DDS
• Robert Thomas Ruland, MD
• Lynette Adrianne Rushing, PSYD
• Joseph Cristopher Russell, DDS
• Kevin Leigh Russell
• Patrick Michael Russell, DO
• Brandon D Rust, DO

• Dentist in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Dentist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.