Organization Active NPI

Rucker Orthodontic Specialists a Dental Corp

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Murrieta, CA
National Provider Identifier
1699668467
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
RUCKER ORTHODONTIC SPECIALISTS A DENTAL CORP
Practice address
38605 Calistoga Dr Ste 250
Murrieta, CA 92563-4885
Phone
(951) 302-0685
NPI assigned
May 31, 2025
Last updated
May 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2025

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

Authorized official

Name
Jonathan Rucker, DDSNPI 1124308770
Title
Owner
Phone
(804) 878-1069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

38605 Calistoga Dr Ste 250
Murrieta, CA 92563-4885

Mailing address

38605 Calistoga Dr Ste 250
Murrieta, CA 92563-4885
Phone (951) 302-0685

National Provider Directory

National Provider Directory

Locations

38605 Calistoga Dr
Ste 250
Murrieta, CA 92563
Phone (951) 302-0685

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1748649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748649600000",
    "number": "1699668467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38605 CALISTOGA DR STE 250",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925634885",
            "telephone_number": "951-302-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38605 CALISTOGA DR STE 250",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925634885",
            "telephone_number": "951-302-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUCKER ORTHODONTIC SPECIALISTS A DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-31",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-878-1069",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2025; 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.