Isabelle Amy Rusden, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

00205158 Issued in CO

Practice address

202 N 2ND St
La Salle, CO 80645-3306

Phone

(970) 284-7930

NPI assigned

Jun 4, 2022

Last updated

Jun 4, 2022By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1654300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654300800000",
    "number": "1902545122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 QUIVAS ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802113049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N 2ND ST",
            "city": "LA SALLE",
            "state": "CO",
            "postal_code": "806453306",
            "telephone_number": "970-284-7930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSDEN",
        "first_name": "ISABELLE",
        "middle_name": "AMY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-04",
        "last_updated": "2022-06-04",
        "certification_date": "2022-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00205158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Lopez-Villarreal
• Open and Affordable Dental at la Salle, PLLC
• Maria Pravata
• Kaley Allison Rodrigues, OTR/L
• Tabetha L Rundle, PTA
• Victoria Kirsten Sandelin, OTR/L
• Southeast Community Laboratory Network, LLC (Southeast Community Laboratory Network)
• Shay Stiles
• Samantha Maureen Vannest, LMT
• Jordan Wagner

• Dentist in La Salle, CO
• Providers in La Salle, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; 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.