NPIMap

Organization Active NPI

Rucker Dentistry

  • General Practice Dentistry
  • Lancaster, SC
National Provider Identifier
1780898460
Registry record updated Jun 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
RUCKER DENTISTRY
Practice address
406 Chesterfield Ave
Lancaster, SC 29720-3508
Phone
(803) 283-9969
NPI assigned
May 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2011

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

Authorized official

Name
Dr. Douglas Aaron Rucker
Title
General Dentist
Phone
(803) 283-9969

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

406 Chesterfield Ave
Lancaster, SC 29720-3508

Mailing address

406 Chesterfield Ave
Lancaster, SC 29720
Phone (803) 283-9969

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308009600000",
    "number": "1780898460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 CHESTERFIELD AVE",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "29720",
            "telephone_number": "803-283-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 CHESTERFIELD AVE",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "297203508",
            "telephone_number": "803-283-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUCKER DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2011-06-14",
        "status": "A",
        "authorized_official_last_name": "RUCKER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "GENERAL DENTIST",
        "authorized_official_telephone_number": "803-283-9969",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2011; 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.