Bryson Sloan Rushing, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14429 Issued in MN

Practice address

18 3Rd St SW Ste 300
Rochester, MN 55902-3022

Phone

(507) 258-5260

NPI assigned

Jul 15, 2020

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

Electronic endpoints 1

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.

• Chatfield Dental Clinic, L.L.C.

  • Dental Clinic/Center
  • Chatfield, MN
  • NPI 1912766759
  NPD Authorized official
• Blue Sky Dental, PLLC

  • General Practice Dentistry
  • Rochester, MN
  • NPI 1700209194
  NPD (past)

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594771200000",
    "number": "1891303962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1569 ECHO RIDGE RD SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559022873",
            "telephone_number": "832-483-6364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 3RD ST SW STE 300",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559023022",
            "telephone_number": "507-258-5260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHING",
        "first_name": "BRYSON",
        "middle_name": "SLOAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "secure@blueskydentalclinic.com",
            "affiliation": "N",
            "address_1": "18 3rd St SW Ste 300",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559023022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cassandra Kistler Runke, M.S.
• Kimberly Rose Runnells, CNP
• Derek Michael Rupp, CNP
• Drew Thomas Rupp, OTR
• Garett Robert Ruroden
• David Rushlow, MD
• Eileen Mei Russell, MD
• Helen Russell
• Kyle Russell, DNAP
• Lori Ellen Russell, MS, RDN, LD

• General Practice Dentistry in Rochester, MN
• Providers in Rochester, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.