Active NPI
Larry John Rush, DDS
- General Practice Dentistry
- Colorado Springs, CO
National Provider Identifier
1912153230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 471
- Practice address
- 2620 Tenderfoot Hill St
Suite 210
Colorado Springs, CO 80906-8353 - Phone
- (719) 597-7979
- Fax
- (719) 597-8084
- NPI assigned
- Aug 18, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 471 | CO | Primary |
Addresses
Primary practice location
2620 Tenderfoot Hill St
Suite 210
Colorado Springs, CO 80906-8353
Mailing address
2620 Tenderfoot Hill St
Suite 210
Colorado Springs, CO 80906-8353
Phone (719) 597-7979
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 471 | CO | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star Dental Institute Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dental Clinic/Center
- Colorado Springs, CO
- NPI 1881255107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219017600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219017600000",
"number": "1912153230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 TENDERFOOT HILL ST",
"address_2": "SUITE 210",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809068353",
"telephone_number": "719-597-7979",
"fax_number": "719-597-8084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2620 TENDERFOOT HILL ST",
"address_2": "SUITE 210",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809068353",
"telephone_number": "719-597-7979",
"fax_number": "719-597-8084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSH",
"first_name": "LARRY",
"middle_name": "JOHN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-08-18",
"last_updated": "2008-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.