Individual provider Active NPI

Joan L Rutenberg, D.C.

  • Chiropractor
  • Boca Raton, FL
National Provider Identifier
1073540050
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 8779 Issued in FL
Practice address
701 E Palmetto Park Rd
Boca Raton, FL 33432-5103
Phone
(610) 212-8700
NPI assigned
Jun 27, 2006
Last updated
Sep 19, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC 002439-L PA
Chiropractor 111N00000X CH 8779 FL Primary

Addresses

Primary practice location

701 E Palmetto Park Rd
Boca Raton, FL 33432-5103

Mailing address

7035 Beracasa Way
#104
Boca Raton, FL 33433-3405
Phone (610) 212-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 8779FLMDChiropractor
DC 002439-LPAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Prestige Rehabilitation Services LLC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1073540050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7035 BERACASA WAY",
            "address_2": "#104",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334333405",
            "telephone_number": "610-212-8700",
            "fax_number": "516-447-4556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E PALMETTO PARK RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325103",
            "telephone_number": "610-212-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTENBERG",
        "first_name": "JOAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-27",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC 002439-L",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 8779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.