Organization Active NPI

Rutledge Dental Associates Inc.

  • Dentist
  • Middletown, DE
National Provider Identifier
1851704233
Registry record updated Jun 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
G10001239 Issued in DE
Legal business name
RUTLEDGE DENTAL ASSOCIATES INC.
Practice address
410 N Cass St
Middletown, DE 19709-1038
Phone
(516) 220-3690
NPI assigned
Jun 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2014

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

Authorized official

Name
Dr. Jane C Rutledge, DMDNPI 1063540342
Title
Vice President/Secretary
Phone
(516) 220-3690

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X G10001239 DE Primary

Addresses

Primary practice location

410 N Cass St
Middletown, DE 19709-1038

Mailing address

121 Pumpkin Patch LN
Hockessin, DE 19707-8941

National Provider Directory

National Provider Directory

Locations

410 N Cass St
Middletown, DE 19709
Phone (516) 220-3690

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401753600000",
    "number": "1851704233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 PUMPKIN PATCH LN",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197078941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N CASS ST",
            "city": "MIDDLETOWN",
            "state": "DE",
            "postal_code": "197091038",
            "telephone_number": "516-220-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTLEDGE DENTAL ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-03",
        "last_updated": "2014-06-03",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "516-220-3690",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "DE",
            "license": "G10001239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2014; 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.