Jeffrey Allen Rud, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

9966 Issued in MN

Practice address

4178 Knob Dr
Eagan, MN 55122-2888

Phone

(651) 452-4317

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750433603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12058 LUCERNE TRL",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550449510",
            "telephone_number": "952-469-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4178 KNOB DR",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551222888",
            "telephone_number": "651-452-4317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUD",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "9966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sagit Rosenberg, MD
• Abby Rose Roth, NP-C
• Bernie V Rottach, O.D.
• Sondra Rowley, PTA
• Alexander Joseph Rud, DMD
• Timothy J. Ruden, PH.D.
• Laura Marie Rudser
• Rukavina Family Chiropractic PLLC
• Russell N Osnes OD & Associates PA
• Russell N Osnes OD & Associates PA

• Dentist in Eagan, MN
• Providers in Eagan, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.