Organization Active NPI

Ruch Dental

  • Dental Clinic/Center
  • Jacksonville, OR
National Provider Identifier
1740493105
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D5946 Issued in OR
Legal business name
RUCH DENTAL
Practice address
181 Upper Applegate Rd
Jacksonville, OR 97530-9739
Phone
(541) 899-7949
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Authorized official

Name
Natasha Russell
Title
Office Manager
Phone
(541) 899-7949

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D5946 OR Primary

Addresses

Primary practice location

181 Upper Applegate Rd
Jacksonville, OR 97530-9739

Mailing address

181 Upper Applegate Rd
Jacksonville, OR 97530-9739
Phone (541) 899-7949

National Provider Directory

National Provider Directory

Locations

181 Upper Applegate Rd
Jacksonville, OR 97530
Phone (541) 899-7824

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1740493105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 UPPER APPLEGATE RD",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309739",
            "telephone_number": "541-899-7949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 UPPER APPLEGATE RD",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309739",
            "telephone_number": "541-899-7949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUCH DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-899-7949"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OR",
            "license": "D5946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.