DR. DWIGHT ANTONIO RUDDOCK D.D.S
NPI 1275546780
Dentist - General Practice in Fort Worth, TX

Q: What is Dwight Ruddock's NPI number?

The NPI number for Dwight Ruddock is 1275546780. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Q: What is Dwight Ruddock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Dwight Ruddock was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since August 14, 2006PECOS Enrolled

719 HEMPHILL ST, FORT WORTH, TX 76104(817) 335-3806(817) 338-1681 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Dr. Dwight Antonio Ruddock D.d.s NPPES

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

DR. DWIGHT ANTONIO RUDDOCK D.D.S (NPI 1275546780) is an individual general practice provider in Fort Worth, Texas, licensed in Texas (14888) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275546780

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DWIGHT ANTONIO RUDDOCKCredential: D.D.S

Location Address719 HEMPHILL STFort Worth, TX 76104-3106

Mailing Address719 Hemphill StFort Worth, TX 76104-3106 · (817) 335-3806 · Fax (817) 338-1681

Phone(817) 335-3806

Fax(817) 338-1681

Sole ProprietorNo

Enumeration DateAugust 14, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1275546780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TX · 14888

Definition

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.

719 HEMPHILL ST, Fort Worth, TX 76104

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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)

Dr. Dwight Antonio Ruddock D.d.s 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 76104 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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 Dwight Ruddock's NPI number?

The NPI number for Dwight Ruddock is 1275546780. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Dwight Ruddock located?

Dwight Ruddock practices at 719 Hemphill St, Fort Worth, TX 76104. The listed phone number is (817) 335-3806.

What is Dwight Ruddock's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Dwight Ruddock enrolled in Medicare?

Yes. Dwight Ruddock is registered in the Medicare PECOS enrollment system.

What insurance does Dwight Ruddock accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 19 other insurers list Dwight Ruddock 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 Dwight Ruddock was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.