DR. RICHARD E. RUTLEDGE (NPI# 1669444964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669444964 |
| Entity Type | Individual |
| Full Name | DR. RICHARD E. RUTLEDGE |
| Credential | D.D.S. |
| Practice Address |
2200 Berquist Drive, Suite 1 Lackland Afb TX 78236-5300 |
| Mailing Address |
7530 Steeple Dr San Antonio TX 78256-1654 |
| Practice Telephone | 2102927282 |
| Mailing Telephone | 2106989794 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
12007955A | IN | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467533356 | Richard Michael Rutledge | Family Medicine | 12620 Brookhurst St Ste 2, Garden Grove, CA 92840 | 2006-10-18 |
| Street Address |
2200 BERQUIST DRIVE, SUITE 1 |
| City | LACKLAND AFB |
| State | TX |
| Zip Code | 78236-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568440642 | Sharon R. Bannister | Dentist | 2200 Berquist Drive, Suite 1, Attn: Credentials (cmc), Lackland Afb, TX 78236-5300 | 2006-01-09 |
| 1275760621 | William Edward Martin | Emergency Medicine | 2200 Berquist Drive, Suite 1, Whmc/gme, Lackland Afb, TX 78236-5300 | 2009-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063047363 | Arnoldo Arturo Gonzalez Jr. | Specialist/Technologist | 1033 Truemper St, Lackland Afb, TX 78236 | 2020-03-06 |
| 1023643343 | Meredith Grace Cockerell | Specialist/Technologist | W Military Drive, San Antonio, TX 78236 | 2020-03-06 |
| 1578120598 | Hali Rashelle Hall | Dentist | 1615 Truemper St, Blg 6418, Attn: 59ds/sgdn, Jbsa Lackland, TX 78236 | 2019-05-24 |
| 1952967077 | Paul Fianza Boseman | Nurse Practitioner | 1106 Wilford Hall Loop, San Antonio, TX 78236 | 2019-05-14 |
| 1689161978 | Kelly Jones Buckshire | Dentist | Dunn Dental Clinic, 1615 Truemper Rd, San Antonio, TX 78236 | 2018-04-23 |
| 1902308570 | Roger Louis Farney | Student in an Organized Health Care Education/Training Program | 1100 Wilford Hall Loop Bldg. 4554, Jbsa Lackland Afb, TX 78236 | 2018-02-28 |
| 1568916856 | Thomas Maxwell Woolf | Dentist | 1100 Wilford Hall Ambulatory Surgical Center, Lackland Afb, TX 78236 | 2016-08-04 |
| 1831544956 | Michael Veronneau | Student in an Organized Health Care Education/Training Program | 59 Mdw/ge 1100 Wilford Hall Loop, Bldg. 4554, Jbsa Lackland, TX 78236 | 2016-04-26 |
| 1376906958 | David Kephart Jr. | General Practice | 1100 Wilford Hall Loop Bldg 4454, Jbsa Lackland, TX 78236 | 2016-04-01 |
| 1184084089 | Olivia Arballo | Dermatology | Wilford Hall Asc, Attn: Dept of Dermatology, 1100 Wilford Hall Loop Bldg 4554, Jbsa-lackland, TX 78236 | 2016-03-04 |
| Find all providers in zip 78236 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221392 | Erika Silguero | Dentist | 101 E Expressway 83 Ste 120, Mcallen, TX 78501-1164 | 2020-10-01 |
| 1952925968 | Premier Endodontics, P.C. | Dentist | 3400 N Mccoll Rd Ste C, Mcallen, TX 78501-5783 | 2020-06-04 |
| 1982233318 | Patency Capital LLC | Dentist | 1050 Yale St Ste 210, Houston, TX 77008-2831 | 2020-04-07 |
| 1174158661 | Hira Assad | Dentist | Spring Klein Endodontics, 6078 Farm To Market 2920, Spring, TX 77379 | 2020-03-05 |
| 1366074890 | Magnolia Family Dentistry Pllc | Dentist | 610 Melton St Ste 300, Magnolia, TX 77354-2366 | 2020-02-12 |
| 1639719925 | Yelton Jung Endodontics Group | Dentist | 1901 Fm 423 Ste 200, Frisco, TX 75033-4729 | 2020-01-14 |
| 1528608817 | Yelton Jung Endodontics Group | Dentist | 1710 Highway 287 N Ste 100, Mansfield, TX 76063-7725 | 2020-01-14 |
| 1699323618 | Jaymin Jayantibhai Patel | Dentist | 2112 Boll St Apt 122, Dallas, TX 75204-2835 | 2019-09-03 |
| 1851943989 | Jae Ha Jung Dds Pllc | Dentist | 1901 Fm 423, Ste 200, Little Elm, TX 75068 | 2019-07-09 |
| 1790349165 | Endodontics & Microsurgery Center PC | Dentist | 23543 Kingsland Blvd Ste 500, Katy, TX 77494-3962 | 2019-04-30 |
| Find all providers with the same taxonomy | ||||
| City | LACKLAND AFB |
| Zip Code | 78236 |
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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.