Individual provider Active NPI

Anthony Wade Rusher, DDS

  • General Practice Dentistry
  • Jonesboro, AR
National Provider Identifier
1972162162
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
TBD Issued in AR
Practice address
1804 Old Greensboro Rd
Jonesboro, AR 72401-2076
Phone
(870) 333-1352
NPI assigned
Jun 11, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X TBD AR Primary

Addresses

Primary practice location

1804 Old Greensboro Rd
Jonesboro, AR 72401-2076

Mailing address

5301 Bridger Park Court
Jonesboro, AR 72402
Phone (870) 284-0077

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

LicenseStateTypeSpecialty
TBDARMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Higginbotham Dental Group, PLLC General Practice PastSince Oct 19, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1972162162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 BRIDGER PARK COURT",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72402",
            "telephone_number": "870-284-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 OLD GREENSBORO RD",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724012076",
            "telephone_number": "870-333-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSHER",
        "first_name": "ANTHONY",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "TBD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.