Leith Rupp, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00202909 Issued in CO

Practice address

202 Bristlecone Dr
Fort Collins, CO 80524-2031

Phone

(970) 416-5331

NPI assigned

Jul 15, 2016

Sex

Male

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

Enrolled in ME

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

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.

• Bucksport Regional Health Center

  • Federally Qualified Health Center (FQHC)
  • Bucksport, ME
  • NPI 1043271133
  Medicare reassignment NPD
• Bucksport Regional Health Center

  • Community/Retail Pharmacy
  • Bucksport, ME
  • NPI 1194561837
  NPD

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1962855874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12804 E 30TH AVE",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800112737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 BRISTLECONE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805242031",
            "telephone_number": "970-416-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPP",
        "first_name": "LEITH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-15",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00202909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grey Rudolph, DPT
• Dorinna S Ruh, LCSW, CACIII
• John Rummel, RN
• Amanda Rumsey, LPC
• Daphnye Rupp-Zimmerman
• Katelyn Emily Rusch, M.S., NNP-BC
• Rebecca Rusciolelli, BS, BA
• Brenna R Rush, LCSW
• Rodney Rush II
• Ryan Kent Rush, D.D.S.

• Dentist in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.