Christian Ruckert, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

058124 Issued in NY

Practice address

156 Spring St
Saratoga Springs, NY 12866-3420

Phone

(585) 747-7626

NPI assigned

Mar 24, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

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.

• Clifton PK Family Dentistry

  • General Practice Dentistry
  • Clifton Park, NY
  • NPI 1467603340
  NPD (past)
• Kletter D.M.D & Levine D.D.S. PC

  • Periodontics
  • Clifton Park, NY
  • NPI 1750795530
  NPD (past)

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1891189213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "983 ROUTE 146",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653616",
            "telephone_number": "518-371-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 SPRING ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128663420",
            "telephone_number": "585-747-7626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKERT",
        "first_name": "CHRISTIAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "058124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Rowland
• Darin Roy, MHC-LP
• Kelly Rozembersky, LMHC
• Marina Rozik, MD
• Harriet Rubenstein, LCSW
• Rae Tieder Rudat, PT
• Cecilia P. Ruelos, M.D.
• Jennifer Runkel, PT
• Marissa Russell, LCSW
• Rustom a Rastinehad PC

• Dentist in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; 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.