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Deactivated NPI 1710057096 Deactivated / Inactive NPI Male Practitioner

Dr. Randall James Ruisch , DDS

Dentist - General Practice • Des Moines, IA

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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. Randall Ruisch has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 08, 2006
NPI Deactivation Date August 30, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Randall Ruisch, DDS was a registered Dentist - General Practice practicing in Des Moines, IA. Throughout an active medical career spanning 19 years, Dr. Ruisch provided care at the practice location at 1000 73RD ST., STE 1 until profile deactivation on 2025-08-30.

Practice Location & Contact Primary Location

Practice Address

1000 73rd St., Ste 1

Des Moines, IA 50311

Telephone 5152235001
Fax 5153276282

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Des Moines, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.3 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
96 Specialists

Practicing in Des Moines, IA (1303 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IA 6047

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Daniel Bartlett , DDS

Dentist - General Practice

NPI 1427128370

Doctor of Dental Surgery

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 August 30, 2025

Record deactivated on August 30, 2025

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 1000 73RD ST., STE 1, DES MOINES, IA 50311 (Tel: 5152235001)

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Updated Business Mailing Address July 08, 2007

Registered at 5965 DOGWOOD CIR, JOHNSTON, IA 501311633 (Tel: 5152760723)

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Provider Name / Credentials Updated July 08, 2007

Recorded as RANDALL RUISCH, DDS

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

Dentist (License #6047 in IA)

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Initial NPI Registration & Enumeration November 08, 2006

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: 1710057096
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 08, 2006
Last Update: July 08, 2007
Deactivation Date: August 30, 2025

Mailing Address

5965 Dogwood Cir

Johnston, IA 501311633

Phone: 5152760723

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

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.