Rustic Mountain Dentistry

ActiveOrganizationSpecialty not listed
NPI issued: December 16, 2018

Quick Facts

NPI Number
1063983245
TypeOrganization
StatusActive
SpecialtySpecialty not listed
Taxonomy261QD0000X — Specialty not listed
Phone
(928) 457-0758
StateAZ

NPI Validation Status: Verified

✅Valid 10-digit NPI number (1063983245)
✅Active status confirmed
✅Verified by CMS NPPES Registry
✅HIPAA compliant identifier
✅Enumeration date on file (December 16, 2018)
Data source: CMS NPPES

Provider Overview

RUSTIC MOUNTAIN DENTISTRY is a Healthcare provider based in Taylor, AZ who has been registered with CMS since 2018. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1063983245
Provider TypeOrganization
StatusActive
Enumeration DateDecember 16, 2018

Practice Location

CityTaylor
StateAZ
ZIP Code85939-8593
Phone(928) 457-0758

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code261QD0000X
License StateAZ

Mailing Address

CityTaylor
StateAZ
ZIP Code85939-8593
Phone(928) 457-0758
Same as practice location

How to Use This NPI

📋

For Insurance Billing

Use NPI 1063983245 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

🏥

For Credentialing

Reference NPI 1063983245for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1063983245 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

Browse all Specialty not listedproviders →
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People Also Ask

What is Rustic Mountain Dentistry's NPI number?
Rustic Mountain Dentistry's NPI number is 1063983245, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Rustic Mountain Dentistry's NPI currently active?
Yes, Rustic Mountain Dentistry's NPI status is Active as of the latest CMS NPPES database updates.
What does Rustic Mountain Dentistry specialize in?
Rustic Mountain Dentistry specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 261QD0000X.
Where does Rustic Mountain Dentistry practice?
Rustic Mountain Dentistry practices in Taylor, AZ 85939-8593.
When was Rustic Mountain Dentistry's NPI issued?
Rustic Mountain Dentistry's NPI was issued on December 16, 2018.
What is Rustic Mountain Dentistry's provider type?
Rustic Mountain Dentistry is registered as an Organization under CMS NPI Type 2.