Rudolph Garza, PLC

Primary specialty

Independent Medical Examiner ChiropractorTaxonomy code 111NI0013X

License

23010005627 Issued in MI

Practice address

1152 Burton St SE
Grand Rapids, MI 49507-3359

Phone

(616) 475-7830

NPI assigned

Apr 18, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Unlimited Health Chiropractic

  • Chiropractor
  • Coeur d'Alene, ID
  • NPI 1639402530
  NPD
• Hofmann Chiropractic Clinic, P.C.

  • Chiropractor
  • Allen Park, MI
  • NPI 1598801029
  NPD (past)
• Rehabilitation Restoration Relazation Station Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Grand Rapids, MI
  • NPI 1437226545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023234754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1152 BURTON SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49507",
            "telephone_number": "616-475-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1152 BURTON ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073359",
            "telephone_number": "616-475-7830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "RUDOLPH",
        "name_prefix": "Dr.",
        "credential": "PLC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0013X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Independent Medical Examiner",
            "state": "MI",
            "license": "23010005627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2301005627",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Sanders Gary, PT, DPT
• Anthony Joaquin Garza-Kukla
• Angalee Santos Garza
• Ashlie Rae Garza
• Maureen Garza, MSOT, MAT
• Christa Ann Gasca
• Victoria R Gaskell, BEHAVIOR TECHNICIAN
• Lauryn Gaskin
• Carlynn Noel Gasser, MD
• Krista M Gast, R.D.

• Independent Medical Examiner Chiropractor in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Independent Medical Examiner Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.