DR. KEITH R. RUTER (NPI# 1295954089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295954089 |
| Entity Type | Individual |
| Full Name | DR. KEITH R. RUTER |
| Credential | D.D.S. |
| Practice Address |
208 N Walnut Ave Forreston IL 61030-9330 |
| Mailing Address |
510 S 5th Ave Forreston IL 61030-9532 |
| Practice Telephone | 8159382575 |
| Practice Fax Number | 8159382363 |
| Mailing Telephone | 8159382502 |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
IL | Dental Providers |
| Street Address |
208 N WALNUT AVE |
| City | FORRESTON |
| State | IL |
| Zip Code | 61030-9330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437703113 | Shady Oak Dental LLC Oral and Maxillofacial Surgeons of Northwest Il | Clinic/Center | 208 N Walnut Ave, Forreston, IL 61030-9330 | 2019-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699902080 | Jennifer L Anderson | Dentist | 208 N. Walnut Ave, Forreston, IL 61030 | 2009-06-12 |
| 1407068646 | Forreston Dental | Dentist | 510 5th Avenue, Forreston, IL 61030 | 2007-05-03 |
| 1992824924 | Forreston Fire Protection District | Ambulance | 301 E. Main Street, Forreston, IL 61030-0212 | 2007-03-29 |
| 1366774150 | Schoaf Family Chiropractic LLC | Chiropractor | 210 S. First Ave., Forreston, IL 61030-0307 | 2010-02-04 |
| 1700845104 | Daniel Patrick Schoaf | Chiropractor | 210 S 1st Avenue, Forreston, IL 61030-0307 | 2006-03-23 |
| 1154580116 | Brian Todd Crowe | Specialist | 9763 W White Eagle Rd, Forreston, IL 61030-9208 | 2008-06-05 |
| 1942656657 | North Shore Surgical Associates | General Acute Care Hospital | 9763 W White Eagle Rd, Forreston, IL 61030-9208 | 2016-05-11 |
| 1912175936 | Forrestville Valley U S D 221 | Local Education Agency (LEA) | 601 E Main St, Forreston, IL 61030-9474 | 2008-02-12 |
| 1053523704 | April Moore | Family Medicine | 803 S First Ave, Forreston, IL 61030-9575 | 2007-05-04 |
| 1013051465 | Freeport Regional Health Care Foundation | Durable Medical Equipment & Medical Supplies | 803 S 1st Ave, Forreston, IL 61030-9575 | 2007-02-19 |
| Find all providers in zip 61030 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699902080 | Jennifer L Anderson | Dentist | 208 N. Walnut Ave, Forreston, IL 61030 | 2009-06-12 |
| 1407068646 | Forreston Dental | Dentist | 510 5th Avenue, Forreston, IL 61030 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104425230 | Sundeep Franklin Dmd & Daiana Capota Dmd Pllc | Dentist | 320 N Mclean Blvd Ste B, Elgin, IL 60123-3220 | 2020-10-20 |
| 1801403555 | Stephanie Elizabeth Miller | Dentist | 2220 Sisters Ave, Naperville, IL 60564-4394 | 2020-09-27 |
| 1417564121 | Gursimran Reen, Dmd LLC | Dentist | 29 S Webster St Ste 108, Naperville, IL 60540-5353 | 2020-09-26 |
| 1285240531 | Summit Dental Center LLC | Dentist | 7710 W 62nd Pl, Summit, IL 60501-1702 | 2020-09-22 |
| 1295340628 | Karina Valentin | Dentist | 1534 N Oakley Blvd Apt 3f, Chicago, IL 60622-1783 | 2020-09-11 |
| 1932713583 | Kevin G Reardon | Dentist | 479 S Spring Rd, Elmhurst, IL 60126-3857 | 2020-09-01 |
| 1831702307 | Sms Dental LLC | Dentist | 17727 Halsted St, Homewood, IL 60430 | 2020-08-25 |
| 1548870884 | Daniel Patrick Jurgens | Dentist | 2 N Country Club Rd Ste 2, Decatur, IL 62521-4174 | 2020-08-02 |
| 1184233934 | Shawna Jade Dudovitz | Dentist | 309 Tamarack Ln, Shiloh, IL 62269-2993 | 2020-07-28 |
| 1417565748 | Robert Hails | Dentist | 3540 N Belt W Ste B, Belleville, IL 62226-5975 | 2020-07-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.