Robert T Rudman, DDS MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8025 Issued in CO

Practice address

4500 E Cherry Creek South Dr
850
Glendale, CO 80246-1518

Phone

(303) 331-0222

Fax

(303) 370-0124

NPI assigned

Sep 15, 2006

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

Credentials

Master of Science

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.

• Co Specialty Dental Services, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Glendale, CO
  • NPI 1114783354
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1730285230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 CHERRY CREEK DRIVE SOUTH",
            "address_2": "850",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802065330",
            "telephone_number": "303-331-0222",
            "fax_number": "303-370-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 E CHERRY CREEK SOUTH DR",
            "address_2": "850",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802461518",
            "telephone_number": "303-331-0222",
            "fax_number": "303-370-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDMAN",
        "first_name": "ROBERT",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CO",
            "license": "8025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheyene Ritter
• Shannon Elise Robinson
• Angela Robisheaux
• Elle Ross, D.O. PH.D. M.S.
• Willow Rubin, MA LPC LMFT
• Angela Salem
• Samantha Ghiselli MD PLLC
• Saraya Sampson, RN
• Grace Mogan Sanders, CCC-SLP
• Denise Michelle Schmidt

• Orthodontics and Dentofacial Orthopedics Dentistry in Glendale, CO
• Providers in Glendale, CO by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.