Minda S Rudnick, D.D.S.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

17079 Issued in OH

Practice address

3641 Lander Rd
Pepper Pike, OH 44124-5730

Phone

(216) 464-7654

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

Yes

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

State licenses

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.

• Jeffrey M Berlin DMD LLC

  • Pediatric Dentistry
  • Pepper Pike, OH
  • NPI 1285432666
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831241157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3641 LANDER RD",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441245730",
            "telephone_number": "216-464-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3641 LANDER RD",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441245730",
            "telephone_number": "216-464-7654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDNICK",
        "first_name": "MINDA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "17079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Rosen, LCPC
• Ellen Rosenblatt, MD
• Bridgette Roth
• Diane Marie Roth
• Minda Jo Ruba
• Tammy Ruiz, LSW
• Richard C Rule-Hoffman, LPCCS
• Megan Ruth
• Joan Sahley
• Matthew David Saunders

• Pediatric Dentistry in Pepper Pike, OH
• Providers in Pepper Pike, OH by specialty
• Pediatric Dentistry in Ohio

• 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.