1. Home
  2. Directory
  3. Indiana
  4. Warsaw
  5. Dentist
  6. NPI Profile

DR. MICHAEL LAWRENCE RUDOLPH D.D.S.
NPI 1730305905
Dentist in Warsaw, IN

Active since April 17, 2007PECOS Enrolled
2104 E CENTER ST, WARSAW, IN 46580(574) 269-1787(574) 267-1610 Get Directions Write a Review

NPPES record last updated: December 2, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Lawrence Rudolph D.d.s. NPPES

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

DR. MICHAEL LAWRENCE RUDOLPH D.D.S. (NPI 1730305905) is an individual dentist in Warsaw, Indiana, licensed in Indiana (12010923A) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730305905
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. MICHAEL LAWRENCE RUDOLPHCredential: D.D.S.
Location Address2104 E CENTER STWarsaw, IN 46580-3704
Mailing Address2104 E Center StWarsaw, IN 46580-3704 · (574) 269-1787 · Fax (574) 267-1610
Phone(574) 269-1787
Fax(574) 267-1610
Sole ProprietorNo
Enumeration DateApril 17, 2007
Last NPPES UpdateDecember 2, 2008
✔ NPI 1730305905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12010923A
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.
2104 E CENTER ST, Warsaw, IN 46580
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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. Michael Lawrence Rudolph 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 46580 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

Other Providers at the Same Location NPPES 4

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

DR. JOHN W JONES DDS
Dentist (General Practice)
2104 E CENTER ST
WARSAW, IN 46580
Kosciusko County (574) 269-1787
EAST CENTER DENTAL
Dentist (General Practice)
2104 E CENTER ST
WARSAW, IN 46580
Kosciusko County (574) 269-1787
EAST WARSAW DENTAL GROUP LLC
Dentist (General Practice)
2104 E CENTER ST
WARSAW, IN 46580
Kosciusko County (574) 269-1787
DR. KAREN L SCRIPTURE DDS
Dentist (General Practice)
2104 E CENTER ST
WARSAW, IN 46580
Kosciusko County (574) 269-1787

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 Michael Rudolph's NPI number?

The NPI number for Michael Rudolph is 1730305905. It was assigned to this individual provider in the NPPES registry on April 17, 2007.

Where is Michael Rudolph located?

Michael Rudolph practices at 2104 E Center St, Warsaw, IN 46580. The listed phone number is (574) 269-1787.

What is Michael Rudolph's specialty?

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

Is Michael Rudolph enrolled in Medicare?

Yes. Michael Rudolph is registered in the Medicare PECOS enrollment system.

What insurance does Michael Rudolph accept?

Health plans from Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and HRI Dental & Vision and 2 other insurers list Michael Rudolph 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 Michael Rudolph was last updated on December 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.