DR. RUDY MAX KETCHIE DMD
NPI 1619912912
Dentist - General Practice in Statesville, NC

Q: What is Rudy Ketchie's NPI number?

The NPI number for Rudy Ketchie is 1619912912. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Q: What is Rudy Ketchie'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 Rudy Ketchie was last updated on November 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 June 19, 2006

1316 DAVIE AVE STE B, STATESVILLE, NC 28677(704) 873-2141(704) 873-2110 Get Directions Write a Review

NPPES record last updated: November 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Rudy Max Ketchie Dmd NPPES

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

DR. RUDY MAX KETCHIE DMD (NPI 1619912912) is an individual general practice provider in Statesville, North Carolina, licensed in North Carolina (3467) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1619912912

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. RUDY MAX KETCHIECredential: DMD

Location Address1316 DAVIE AVE STE BStatesville, NC 28677-3561

Mailing Address1316 Davie Ave Ste BStatesville, NC 28677-3561 · (704) 873-2141 · Fax (704) 873-2110

Phone(704) 873-2141

Fax(704) 873-2110

Sole ProprietorYes

Enumeration DateJune 19, 2006

Last NPPES UpdateNovember 5, 2021

✔ NPI 1619912912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in NC · 3467

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.

1316 DAVIE AVE STE B, Statesville, NC 28677

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSAY SPEARS DDS PLLC

Dentist (General Practice)

1316 DAVIE AVE STE B
STATESVILLE, NC 28677

Iredell County (704) 873-2141

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 Rudy Ketchie's NPI number?

The NPI number for Rudy Ketchie is 1619912912. It was assigned to this individual provider in the NPPES registry on June 19, 2006.

Where is Rudy Ketchie located?

Rudy Ketchie practices at 1316 Davie Ave Ste B, Statesville, NC 28677. The listed phone number is (704) 873-2141.

What is Rudy Ketchie's specialty?

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

When was this NPI record last updated?

The NPPES record for Rudy Ketchie was last updated on November 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.