Active NPI
Seth Rush
- Dentist
- Saint Joseph, MO
National Provider Identifier
1730521956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 2012015447
- Practice address
- 1006 W Saint Maartens Dr
Saint Joseph, MO 64506-2966 - Phone
- (816) 364-3325
- NPI assigned
- Jul 29, 2013
- Last updated
- Aug 18, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 2012015447 | MO | Primary |
Addresses
Primary practice location
1006 W Saint Maartens Dr
Saint Joseph, MO 64506-2966
Mailing address
1006 W Saint Maartens Dr
Saint Joseph, MO 64506-2966
Phone (816) 364-3325
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160129001748 | MO | Order and Referring Only - Oral Surgery | 6507169265 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2012015447 | MO | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439856000000",
"number": "1730521956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 W SAINT MAARTENS DR",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062966",
"telephone_number": "816-364-3325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 W SAINT MAARTENS DR",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "645062966",
"telephone_number": "816-364-3325"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSH",
"first_name": "SETH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-29",
"last_updated": "2015-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MO",
"license": "2012015447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Joseph, MO
- David Rowland, MSW, LCSW
- Roy Ronold Rubnke, PHD
- Mark Rucker, PHARM.D.
- Lisa Noelle Ruckman, M.D.
- Carolyn Ingrid Ruiz, PHYSICAL THERAPIST
- George Robert Ruwwe Jr., DDS
- Ryan H. Holmes, D.C., P.C. (Holmes Clinic of Chiropractic)
- Ryan M. Walker, DDS, PC (Northwest Endodontics)
- Sacred Heart Home Healthcare Inc
- Prasanth Babu Sadaram, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.