Rusha George Awad, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

RUSHA GEORGE AWAD, LLC

Doing business as

West Nassau Dental Care

Practice address

450100 State Road 200
Callahan, FL 32011-5064

Phone

(904) 879-6998

NPI assigned

Nov 9, 2023

Last updated

Nov 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rusha Awad, DMDNPI 1073035911

Title

President

Phone

(904) 207-4766

Specialties & licenses 1

Addresses

Other names 1

• West Nassau Dental Care Doing business as

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rusha G Awad, DMD

  • Dentist
  • Jacksonville, FL
  • NPI 1073035911
  NPD Authorized official
• Nicholas Banks Grubor, DMD

  • General Practice Dentistry
  • Middleburg, FL
  • NPI 1417637596
  NPD (past)
• Kenneth Allen Rice, D.M.D.

  • General Practice Dentistry
  • Callahan, FL
  • NPI 1699855395
  NPD (past)

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

{
    "created_epoch": "1699488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1922872019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4570 BRANDY OAK CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578818",
            "telephone_number": "904-204-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450100 STATE ROAD 200",
            "city": "CALLAHAN",
            "state": "FL",
            "postal_code": "320115064",
            "telephone_number": "904-879-6998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSHA GEORGE AWAD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-09",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "RUSHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-207-4766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Nassau Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Redwine, PT, DPT
• Jonathan Christopher Reed, PHARMD
• Linda Gail Reeves, CNA
• Kenneth Allen Rice, D.M.D.
• Rural Urgent Care LLC (MainStreet Family Care)
• Sage Dental of Callahan PLLC
• Salutaris Physical Therapy and Wellness, LLC
• Michael L Scheer, D.O
• Elizabeth Schlachter, PHARM.D.
• Cathy Player Sirmans, LPN/PRESIDENT

• Dental Clinic/Center in Callahan, FL
• Providers in Callahan, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.