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DR. EDWARD TUCKER RUDISILL DDS
NPI 1821677964
Dentist in Gilbert, AZ

Active since April 06, 2021PECOS Enrolled
1030 N COLORADO ST, GILBERT, AZ 85233(501) 701-0539 Get Directions Write a Review

NPPES record last updated: October 6, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 6, 2023, Nov 15, 2021, Apr 6, 2021 (3 updates tracked since 2021).

About Dr. Edward Tucker Rudisill Dds NPPES

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

DR. EDWARD TUCKER RUDISILL DDS (NPI 1821677964) is an individual dentist in Gilbert, Arizona, licensed in Arizona (D011952) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821677964
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. EDWARD TUCKER RUDISILLCredential: DDS
Location Address1030 N COLORADO STGilbert, AZ 85233-2288
Mailing Address1030 N Colorado StGilbert, AZ 85233-2288 · (501) 701-0539
Phone(501) 701-0539
Sole ProprietorNo
Enumeration DateApril 6, 2021
Last NPPES UpdateOctober 6, 20233 updates tracked since enumeration
NPPES CertifiedOctober 6, 2023
✔ NPI 1821677964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in AZ · D011952✔ Licensed in LA · 7215
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1030 N COLORADO ST, Gilbert, AZ 85233
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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)

Dr. Edward Tucker Rudisill Dds 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 85233 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 Edward Rudisill's NPI number?

The NPI number for Edward Rudisill is 1821677964. It was assigned to this individual provider in the NPPES registry on April 6, 2021.

Where is Edward Rudisill located?

Edward Rudisill practices at 1030 N Colorado St, Gilbert, AZ 85233. The listed phone number is (501) 701-0539.

What is Edward Rudisill's specialty?

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

Is Edward Rudisill enrolled in Medicare?

Yes. Edward Rudisill is registered in the Medicare PECOS enrollment system.

What insurance does Edward Rudisill accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Edward Rudisill 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 Edward Rudisill was last updated on October 6, 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.