Active NPI
Robert A Rudman, DDS MS
- Oral & Maxillofacial Surgery (D.M.D.)
- Ames, IA
National Provider Identifier
1942282553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)
- License
- 7879
- Practice address
- 1212 Duff Ave
Ames, IA 50010-5467 - Phone
- (515) 232-6830
- Fax
- (515) 232-3296
- NPI assigned
- Nov 18, 2005
- Last updated
- Jul 13, 2026
- 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 |
|---|---|---|---|---|
| Oral & Maxillofacial Surgery (D.M.D.) | 204E00000X | 7879 | IA | Primary |
Addresses
Primary practice location
1212 Duff Ave
Ames, IA 50010-5467
Mailing address
1212 Duff Ave
Ames, IA 50010-5467
Phone (515) 232-6830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Aug 14, 2015 through Aug 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7879 | IA | MD | Oral & Maxillofacial Surgery (D.M.D.) |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Marshalltown Oral Surgeons
- Oral and Maxillofacial Surgery Clinic/Center
- Ames, IA
- NPI 1336328509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1942282553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1212 DUFF AVE",
"city": "AMES",
"state": "IA",
"postal_code": "500105467",
"telephone_number": "515-232-6830",
"fax_number": "515-232-3296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1212 DUFF AVE",
"city": "AMES",
"state": "IA",
"postal_code": "500105467",
"telephone_number": "515-232-6830",
"fax_number": "515-232-3296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDMAN",
"first_name": "ROBERT",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "DDS MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "204E00000X",
"taxonomy_group": "",
"desc": "Oral & Maxillofacial Surgery",
"state": "IA",
"license": "7879",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ames, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.