DR. RUDY ALBERTO SANTILLANA DMD
NPI 1962652511
Dentist in Fort Worth, TX

Q: What is Rudy Santillana's NPI number?

The NPI number for Rudy Santillana is 1962652511. It was assigned to this individual provider in the NPPES registry on September 19, 2008.

Q: What is Rudy Santillana'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 Rudy Santillana was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 19, 2008PECOS Enrolled

3548 S HILLS AVE STE 17, FORT WORTH, TX 76109(973) 951-3231(817) 946-7646 Get Directions Write a Review

NPPES record last updated: December 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Rudy Alberto Santillana Dmd NPPES

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

DR. RUDY ALBERTO SANTILLANA DMD (NPI 1962652511) is an individual dentist in Fort Worth, Texas, licensed in Texas (31049) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962652511

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. RUDY ALBERTO SANTILLANACredential: DMD

Location Address3548 S HILLS AVE STE 17Fort Worth, TX 76109-2838

Mailing Address1505 Birchmont LnKeller, TX 76248-8210 · (973) 951-3231

Phone(973) 951-3231

Fax(817) 946-7646

Sole ProprietorNo

Enumeration DateSeptember 19, 2008

Last NPPES UpdateDecember 19, 2024

NPPES CertifiedDecember 19, 2024

✔ NPI 1962652511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 31049

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.

3548 S HILLS AVE STE 17, Fort Worth, TX 76109

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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. Rudy Alberto Santillana Dmd 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 76109 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

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$70.45 typical visit price

range $18.18 – $139.68

Typical copayment $17.61 (range $4.54 – $34.92)

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

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

DENTAL ASSOCIATES OF FORT WORTH

Dentist (General Practice)

3548 S HILLS AVE STE 17
FORT WORTH, TX 76109

Tarrant County (817) 924-7670

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 Santillana's NPI number?

The NPI number for Rudy Santillana is 1962652511. It was assigned to this individual provider in the NPPES registry on September 19, 2008.

Where is Rudy Santillana located?

Rudy Santillana practices at 3548 S Hills Ave Ste 17, Fort Worth, TX 76109. The listed phone number is (973) 951-3231.

What is Rudy Santillana's specialty?

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

Is Rudy Santillana enrolled in Medicare?

Yes. Rudy Santillana is registered in the Medicare PECOS enrollment system.

What insurance does Rudy Santillana accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 17 other insurers list Rudy Santillana 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 Rudy Santillana was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.