Individual provider Active NPI

Sarah Joy Ruther, D.C.

  • Chiropractor
  • Isanti, MN
National Provider Identifier
1114101276
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5006 Issued in MN
Practice address
2 Enterprise Ave NE Ste C1
Isanti, MN 55040-6811
Phone
(763) 444-4668
Fax
(763) 444-7952
NPI assigned
Dec 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5006 MN Primary

Addresses

Primary practice location

2 Enterprise Ave NE Ste C1
Isanti, MN 55040-6811

Mailing address

2 Enterprise Ave NE Ste C1
Isanti, MN 55040-6811
Phone (763) 444-4668

Other identifiers 3

IdentifierTypeStateIssuer
350004241OtherMNMEDICARE PTAN
1114101276MedicaidMN
13363885723OtherMNGROUP NPI

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
5006MNMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1114101276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ENTERPRISE AVE NE STE C1",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550406811",
            "telephone_number": "763-444-4668",
            "fax_number": "763-444-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ENTERPRISE AVE NE STE C1",
            "city": "ISANTI",
            "state": "MN",
            "postal_code": "550406811",
            "telephone_number": "763-444-4668",
            "fax_number": "763-444-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHER",
        "first_name": "SARAH",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-26",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "350004241",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114101276",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "13363885723",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Isanti, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.