Ryan Rucker

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

106049 Issued in CA

Practice address

31560 Rancho Pueblo Rd Ste 201
Temecula, CA 92592-4850

Phone

(951) 302-0685

NPI assigned

Dec 16, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Rucker Orthodontic Specialists a Dental Corp

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Murrieta, CA
  • NPI 1699668467
  NPD (past)

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

{
    "created_epoch": "1639612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1700545837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31560 RANCHO PUEBLO RD STE 201",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924850",
            "telephone_number": "760-238-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31560 RANCHO PUEBLO RD STE 201",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925924850",
            "telephone_number": "951-302-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-16",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "106049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fe Rubiano
• Rubin Nichols DDS Inc
• Jennifer G Rubio Ipina
• Belinda Rubio, SLPA
• Jonathan Wade Rucker, DDS, MS
• Illumina Ruffy
• Daniel Ruiz Cota, BCBA
• Martha Ruiz-Shank, PSYD
• Abigail Ruiz, DDS
• Carina Ruiz

• Orthodontics and Dentofacial Orthopedics Dentistry in Temecula, CA
• Providers in Temecula, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.