What is Rudy Ketchie's NPI number?

Rudy Ketchie's National Provider Identifier (NPI) is 1619912912, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Rudy Ketchie's specialty?

Rudy Ketchie is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Rudy Ketchie located?

Rudy Ketchie's practice location on file with NPPES is 1316 Davie Ave Ste B, Statesville, NC 28677-3561.

What is Rudy Ketchie's phone number?

The practice phone number listed in the NPPES registry for Rudy Ketchie is (704) 873-2141.

Is Rudy Ketchie's NPI active?

Yes — Rudy Ketchie's NPI (1619912912) is active in the NPPES registry as of the last update on 2021-11-05.

IndividualActive

Rudy Ketchie, DMD

NPI 1619912912 · General Practice Dentistry · Statesville, NC

Rudy Ketchie, DMD is a General Practice Dentistry provider in Statesville, NC (NPI 1619912912).

Provider details

NPI number: 1619912912
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DMD
Sex: Male
Sole proprietor: Yes
License: 3467 (NC)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 3467 (NC)
Dental Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

1316 Davie Ave Ste B

Statesville, NC 28677-3561

Phone: (704) 873-2141

Fax: (704) 873-2110

Street-level locationGet directions

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Mailing address