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Deactivated NPI 1437204666 Deactivated / Inactive NPI Male Practitioner

Dr. Thomas H Risbrudt , DDS

Dentist - Prosthodontics • San Clemente, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Thomas Risbrudt has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 25, 2007
NPI Deactivation Date May 14, 2026
Total Practice Duration ~19 Years of Practice (2007 – 2026)

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Risbrudt, DDS was a registered Dentist - Prosthodontics practicing in San Clemente, CA. Throughout an active medical career spanning 19 years, Dr. Risbrudt provided care at the practice location at 655 CAMINO DE LOS MARES until profile deactivation on 2026-05-14.

Practice Location & Contact Primary Location

Practice Address

655 Camino De Los Mares
Ste. 128

San Clemente, CA 926732809

Telephone 9494960311
Fax 9494968093
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Prosthodontics in San Clemente, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.9 Yrs
Regional Practice Density
1 Specialists

Practicing in San Clemente, CA (497 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Prosthodontics Primary Specialty

NUCC Taxonomy Code: 1223P0700X

State License CA 18175

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
NPI 1174500219

Doctor of Medicine (M.D.)

Dr. Navjyot Gujral , MD

Internal Medicine - Gastroenterology

NPI 1174591994

Doctor of Medicine (M.D.)

NPI 1417092719

Doctor of Chiropractic

Debra Hetschel

Counselor - Mental Health

NPI 1447484910
NPI 1487736617

Licensed Acupuncturist

Dr. Sandra Grifman , PHD MFC

Marriage & Family Therapist

NPI 1568676260

PHDMFC

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 14, 2026

Record deactivated on May 14, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 655 CAMINO DE LOS MARES, STE. 128, SAN CLEMENTE, CA 926732809 (Tel: 9494960311)

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Updated Business Mailing Address July 08, 2007

Registered at 655 CAMINO DE LOS MARES, STE. 128, SAN CLEMENTE, CA 926732809 (Tel: 9494960311)

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Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS RISBRUDT, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #18175 in CA)

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Initial NPI Registration & Enumeration January 25, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437204666
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 25, 2007
Last Update: July 08, 2007
Deactivation Date: May 14, 2026

Mailing Address

655 Camino De Los Mares, Ste. 128

San Clemente, CA 926732809

Phone: 9494960311

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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