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

Active since July 07, 2014Opted out of Medicare · through May 10, 2028
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 23, 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 has opted out of Medicare through May 10, 2028 and remains eligible to order and refer 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
Phone(480) 893-7674
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
Open in Google Maps ↗

Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of Arizona, Renaissance Dental.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Cory Mackenzie Rush D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 10, 2016 through May 10, 2028.

Opt-Out Effective DateMay 10, 2016
Opt-Out In Effect ThroughMay 10, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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?

No. Cory Rush has opted out of Medicare through May 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

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.