CORY MACKENZIE RUSH D.M.D.
NPI 1194131557
Dentist in Phoenix, AZ

Active since July 07, 2014PECOS Enrolled
4350 E RAY RD STE 112, PHOENIX, AZ 85044(480) 893-7674 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Feb 19, 2018 (2 updates tracked since 2018).

About Cory Mackenzie Rush D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORY MACKENZIE RUSH D.M.D. (NPI 1194131557) is an individual dentist in Phoenix, Arizona, licensed in Arizona (9934) and active in the NPI registry since July 2014. He is enrolled in Medicare PECOS and maintains a secondary practice location in Grand Prairie.

NPPES Registry Identity

NPI1194131557
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameCORY MACKENZIE RUSHCredential: D.M.D.
Location Address4350 E RAY RD STE 112Phoenix, AZ 85044-4705
Mailing Address2553 E Linda LnGilbert, AZ 85234-1305 · (602) 300-1059
Sole ProprietorYes
Enumeration DateJuly 7, 2014
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1194131557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in AZ · 9934
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 30205 (TX)
4350 E RAY RD STE 112, Phoenix, AZ 85044

Secondary Practice Location 1

Location 12672 Basswood DrGrand Prairie, TX 75052-4700 · Phone (602) 300-1059

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Cory Mackenzie Rush D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cory Rush's NPI number?

The NPI number for Cory Rush is 1194131557. It was assigned to this individual provider in the NPPES registry on July 7, 2014.

Where is Cory Rush located?

Cory Rush practices at 4350 E Ray Rd Ste 112, Phoenix, AZ 85044. The listed phone number is (480) 893-7674.

What is Cory Rush's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Cory Rush enrolled in Medicare?

Yes. Cory Rush is registered in the Medicare PECOS enrollment system.

What insurance does Cory Rush accept?

Health plans from Delta Dental of Arizona and Renaissance Dental list Cory Rush as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cory Rush was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.