Joel Matthew Rude, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00008219 Issued in WA

Practice address

22142 SE 237TH Street
Maple Valley, WA 98038-8534

Phone

(425) 432-1292

Fax

(425) 432-0192

NPI assigned

Dec 19, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joel M Rude DMD PS

  • General Practice Dentistry
  • Maple Valley, WA
  • NPI 1053474288
  NPD (past) Authorized official
• DF Whitfield DDS PLLC

  • General Practice Dentistry
  • Maple Valley, WA
  • NPI 1912848060
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790848927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22142 SE 237TH STREET",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980388534",
            "telephone_number": "425-432-1292",
            "fax_number": "425-432-0192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22142 SE 237TH STREET",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980388534",
            "telephone_number": "425-432-1292",
            "fax_number": "425-432-0192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDE",
        "first_name": "JOEL",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00008219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DSHS",
            "identifier": "5042726",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Victoria Bates Romanski, DO
• Amanda Jane Rosenkoetter, PH.D.
• James P Roswell
• Christina Joanne Rowley
• Danny Ray Rude, DDS
• Rebecca Brown Rush-Peet, M.D.
• Telly R Russell, MD
• Angela Monir Sabra, D.O.
• Safe and Sound Transportation
• Safeway Inc (Safeway Pharmacy #1471)

• General Practice Dentistry in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• General Practice Dentistry in Washington

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.