Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dale R Rustad, MD

Q: What is the NPI number for Dale Rustad?

The National Provider Identifier (NPI) for Dale Rustad is 1780617720, a Type 1 (individual) record in the CMS NPPES registry.

Pediatrics Physician in De Pere, WI · enumerated 2006 · practices at St Vincent Hospital-Hospital Sisters-Third Order of St Francis.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1780617720

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Registry record

Entity type Individual (Type 1)

Name Dale R Rustad

Credential MD

Sex Male

Practice address 3860 Monroe Rd, De Pere, WI, 54115

Phone (920) 496-4700

Fax (920) 431-1970

Enumeration date Jul 9, 2006

Last updated in NPPES Aug 13, 2008

Taxonomy & licenses

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians · License 35465 (WI) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
32064000	Medicaid	WI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Dale Rustad?

The National Provider Identifier (NPI) for Dale Rustad is 1780617720, a Type 1 (individual) record in the CMS NPPES registry.

Where does Dale Rustad practice?

The practice location on file with NPPES is in De Pere, WI. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-08-13.