JOSHUA TEAGUE RUTHERFORD DMD
NPI 1902609209
Dentist - General Practice in Willows, CA

Active since March 31, 2025PECOS Enrolled
207 N BUTTE ST, WILLOWS, CA 95988(530) 934-4641 Get Directions Write a Review

NPPES record last updated: September 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joshua Teague Rutherford Dmd NPPES

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

JOSHUA TEAGUE RUTHERFORD DMD (NPI 1902609209) is an individual general practice provider in Willows, California, licensed in California (DDS111796) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and is a graduate of At Still University, Arizona School Of Dentistry & Oral Hlth (2024).

NPPES Registry Identity

NPI1902609209
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameJOSHUA TEAGUE RUTHERFORDCredential: DMD
Location Address207 N BUTTE STWillows, CA 95988-2803
Mailing Address207 N Butte StWillows, CA 95988-2803 · (406) 850-8563
Sole ProprietorYes
Medical School CMSAt Still University, Arizona School Of Dentistry & Oral HlthGraduated 2024
Enumeration DateMarch 31, 2025
Last NPPES UpdateSeptember 25, 2025
NPPES CertifiedSeptember 25, 2025
NPI 1902609209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · DDS111796
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.
207 N BUTTE ST, Willows, CA 95988

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Joshua Teague Rutherford Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9537659073
PECOS Enrollment IDI20251104002767
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 95988 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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.

Dental Hygienist
207 N BUTTE ST
WILLOWS, CA 95988
Psychiatry & Neurology (Psychiatry)
207 N BUTTE ST
WILLOWS, CA 95988
Dentist
207 N BUTTE ST
WILLOWS, CA 95988
Dentist
207 N BUTTE ST
WILLOWS, CA 95988
Dentist
207 N BUTTE ST
WILLOWS, CA 95988
Nurse Practitioner (Family)
207 N BUTTE ST
WILLOWS, CA 95988
Dentist (General Practice)
207 N BUTTE ST
WILLOWS, CA 95988
Dentist
207 N BUTTE ST
WILLOWS, CA 95988

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 Joshua Rutherford's NPI number?

The NPI number for Joshua Rutherford is 1902609209. It was assigned to this individual provider in the NPPES registry on March 31, 2025.

Where is Joshua Rutherford located?

Joshua Rutherford practices at 207 N Butte St, Willows, CA 95988. The listed phone number is (530) 934-4641.

What is Joshua Rutherford's specialty?

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

Is Joshua Rutherford enrolled in Medicare?

Yes. Joshua Rutherford is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Joshua Rutherford was last updated on September 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.