Joshua Teague Rutherford, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS111796 Issued in CA

Practice address

207 N Butte St
Willows, CA 95988-2803

Phone

(530) 934-4641

NPI assigned

Mar 31, 2025

Sex

Male

Sole proprietor

Yes

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 TX

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

Specialty

Dentist

Education

At Still University, Arizona School of Dentistry & Oral HLTH, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northern Valley Indian Health Inc

  • Clinic/Center
  • Willows, CA
  • NPI 1295752384

  TX

  Medicare reassignment NPD
• Northern Valley Indian Health Inc

  • Clinic/Center
  • Chico, CA
  • NPI 1750031548
  NPD

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

{
    "created_epoch": "1743379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1902609209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N BUTTE ST",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959882803",
            "telephone_number": "406-850-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N BUTTE ST",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959882803",
            "telephone_number": "530-934-4641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "JOSHUA",
        "middle_name": "TEAGUE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS111796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabel Robles
• Nikolai Rodionov
• Xochitl Rodriguez, M.S. PPS
• Cynthia Beth Ross
• Laura Elizabeth Roten
• Andrea Ryan, B.A. / L.P.T.
• Monserrat Saucedo Rosales
• Michael Schmies, PA
• Joseph Schykerynec
• Diana Lynn Sears, RN

• General Practice Dentistry in Willows, CA
• Providers in Willows, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.