Christopher J Ruszkowski, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

17411 Issued in OH

Practice address

21724 Lorain Road
Suite 6
Fairview Park, OH 44126

Phone

(440) 331-0255

Fax

(440) 331-0254

NPI assigned

Oct 20, 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

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831271642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21724 LORAIN ROAD",
            "address_2": "SUITE 6",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "44126",
            "telephone_number": "440-331-0255",
            "fax_number": "440-331-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21724 LORAIN ROAD",
            "address_2": "SUITE 6",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "44126",
            "telephone_number": "440-331-0255",
            "fax_number": "440-331-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSZKOWSKI",
        "first_name": "CHRISTOPHER",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "17411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Julia Ann Roth, PA-C
• Lital Ruderman
• Molly Ruschau
• Andrew J. Sakiewicz, MD
• Patrick Scanlan
• Julia Sciarappa
• Scoggins Dialysis LLC
• Shane Seipel, M.D.

• General Practice Dentistry in Fairview Park, OH
• Providers in Fairview Park, OH by specialty
• General Practice 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.
• 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.