T. Rutner DDS Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

T. RUTNER DDS DENTAL CORPORATION

Practice address

6400 Pleasant Valley Rd
El Dorado, CA 95623-4230

Phone

(530) 344-0290

Fax

(530) 344-0291

NPI assigned

Dec 10, 2024

Organization subpart

Yes

Parent organization

T. RUTNER DDS DENTAL CORPORATIONAs reported in NPPES

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

Authorized official

Name

Maribel Garcia

Title

Manager

Phone

(530) 677-3788

Specialties & licenses 1

Addresses

Tax ID family

T Rutner DDS Dental Corporation3 organizations share this tax ID, including this one

Part of

T Rutner DDS Dental Corporation

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• T. Rutner DDS Dental Corporation

  • Dentist
  • Diamond Springs, CA
  • NPI 1023825635
  NPD tax ID
• T. Rutner DDS Dental Corporation

  • Dentist
  • South Lake Tahoe, CA
  • NPI 1467268573
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• T. Rutner DDS Dental Corporation

  • Dentist
  • South Lake Tahoe, CA
  • NPI 1467268573
  NPPES parent name

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747180800000",
    "number": "1821804170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "493 MAIN ST STE C",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199173",
            "telephone_number": "530-344-0290",
            "fax_number": "530-344-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 PLEASANT VALLEY RD",
            "city": "EL DORADO",
            "state": "CA",
            "postal_code": "956234230",
            "telephone_number": "530-344-0290",
            "fax_number": "530-344-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T. RUTNER DDS DENTAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "T. RUTNER DDS DENTAL CORPORATION",
        "enumeration_date": "2024-12-10",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "530-677-3788"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milo A Laguna
• Vanissa Martin
• Charles D. Moore, MD
• Pleasant Valley Dental
• John H. Prock, MFT
• Courtney Jean Uppendahl, LMFT
• Martin Yablonovsky, D.C.
• Mike Ziegler, PPS AND MA

• Dentist in El Dorado, CA
• Providers in El Dorado, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.