KELLY RUSTICO
NPI 1801282769
Dentist in Columbus, OH

Q: What is Kelly Rustico's NPI number?

The NPI number for Kelly Rustico is 1801282769. It was assigned to this individual provider in the NPPES registry on April 7, 2015.

Q: What is Kelly Rustico's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kelly Rustico was last updated on October 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 07, 2015PECOS Enrolled

305 W 12TH AVE, COLUMBUS, OH 43210(614) 292-0880 Get Directions Write a Review

NPPES record last updated: October 29, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 29, 2023, Mar 18, 2020, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

On this page

About Kelly Rustico NPPES

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

KELLY RUSTICO (NPI 1801282769) is an individual dentist in Columbus, Ohio, licensed in Ohio (30.025097) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1801282769

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameKELLY RUSTICO

Location Address305 W 12TH AVEColumbus, OH 43210-1267

Mailing Address1189 Leicester PlColumbus, OH 43235-2181 · (614) 460-1694

Phone(614) 292-0880

Sole ProprietorNo

Enumeration DateApril 7, 2015

Last NPPES UpdateOctober 29, 20235 updates tracked since enumeration

NPPES CertifiedOctober 29, 2023

✔ NPI 1801282769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in OH · 30.025097

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 DDS102193 (CA), 0401414839 (VA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

305 W 12TH AVE, Columbus, OH 43210

Open in Google Maps ↗

Secondary Practice Locations 3

Location 11600 Wilson Blvd Ste 620Arlington, VA 22209-2596 · Phone (703) 524-0288

Location 24725 Market StSan Diego, CA 92102-4715 · Phone (619) 515-2420

Location 3305 W 12th AveColumbus, OH 43210-1267 · Phone (614) 292-0880

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, 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)

Kelly Rustico 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 43210 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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 20

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

DR. TIMOTHY GARTH WEAVER D.D.S.

Dentist

305 W 12TH AVE
COLUMBUS, OH 43210

Franklin County (614) 292-7473

MITCHELL THAI

Dentist (General Practice)

305 W 12TH AVE
COLUMBUS, OH 43210

Franklin County (614) 292-4468

DIANA MAHMOODI DMD

Dentist (Prosthodontics)

305 W 12TH AVE
COLUMBUS, OH 43210

Franklin County (703) 608-6431

DR. ELMER JAY NEWNESS D.D.S.

Dentist

305 W 12TH AVE
COLUMBUS, OH 43210

Franklin County (614) 292-3015

DANIEL STENTZ D.D.S.

Dentist

305 W 12TH AVE, ROOM 3059C POSTLE HALL
COLUMBUS, OH 43210

Franklin County (614) 292-3596

JENNIFER BURZYNSKI DMD

Dentist (Orthodontics and Dentofacial Orthopedics)

305 W 12TH AVE, OSU DEPARTMENT OF ORTHODONTICS
COLUMBUS, OH 43210

Franklin County (614) 292-9100

DR. SOORYA SRINIVASAN D.M.D

Dentist (Orthodontics and Dentofacial Orthopedics)

305 W 12TH AVE
COLUMBUS, OH 43210

Franklin County (614) 688-4047

DR. BRYCE WOOLSEY DDS

Dentist

305 W 12TH AVE
COLUMBUS, OH 43210

Franklin County (614) 292-2622

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 Kelly Rustico's NPI number?

The NPI number for Kelly Rustico is 1801282769. It was assigned to this individual provider in the NPPES registry on April 7, 2015.

Where is Kelly Rustico located?

Kelly Rustico practices at 305 W 12th Ave, Columbus, OH 43210. The listed phone number is (614) 292-0880.

What is Kelly Rustico's specialty?

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

Is Kelly Rustico enrolled in Medicare?

Yes. Kelly Rustico is registered in the Medicare PECOS enrollment system.

What insurance does Kelly Rustico accept?

Health plans from Anthem Blue Cross and Blue Shield, 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 Kelly Rustico 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 Kelly Rustico was last updated on October 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.