Active NPI
Santiago Rueda, DDS
- Dentist
- Silver Spring, MD
National Provider Identifier
1790813129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 13648
- Practice address
- 2100 Hildarose Dr
#3
Silver Spring, MD 20902-5646 - Phone
- (410) 272-1535
- NPI assigned
- Feb 28, 2007
- 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 | 13648 | MD | Primary |
Addresses
Primary practice location
2100 Hildarose Dr
#3
Silver Spring, MD 20902-5646
Mailing address
2100 Hildarose Dr
#3
Silver Spring, MD 20902-5646
Phone (410) 272-1535
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD 13648 | Other | MD | MD LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13648 | MD | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202860800000",
"number": "1790813129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 HILDAROSE DR",
"address_2": "#3",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209025646",
"telephone_number": "410-272-1535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 HILDAROSE DR",
"address_2": "#3",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209025646",
"telephone_number": "410-272-1535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUEDA",
"first_name": "SANTIAGO",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2008-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "13648",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MD LICENSE",
"identifier": "MD 13648",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 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.