Ronald Wayne Rudeseal, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4296 Issued in TX

Practice address

1312 W Park Ave
Orange, TX 77630-4949

Phone

(140) 988-3394

Fax

(409) 883-3108

NPI assigned

Nov 1, 2006

Last updated

Dec 17, 2021By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Rudeseal Chiropractic Clinic, Inc.

  • Chiropractor
  • Orange, TX
  • NPI 1124149554
  Authorized official Same address or phone
• Southeast Texas Hospice

  • Community Based Hospice Care Agency
  • Orange, TX
  • NPI 1720162506
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1124105135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 WEST PARK AVENUE",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776304949",
            "telephone_number": "409-883-3942",
            "fax_number": "409-883-3108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 W PARK AVE",
            "city": "ORANGE",
            "state": "TX",
            "postal_code": "776304949",
            "telephone_number": "140-988-3394",
            "fax_number": "409-883-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDESEAL",
        "first_name": "RONALD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z000J09A",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "629865",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4545346",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandy Nicole Rizzato, AGNP
• Rosemary House of Orange, LLC
• Jacie Ross, FNP-C
• Valen Elliott Ross, DDS
• Rudeseal Chiropractic Clinic, Inc.
• William Martin Rutledge Jr., MD
• Samuel J. Pangburn, D.O., PA
• Tanya Sanders
• Jerry D Sanford, D.C.
• Felipe Antonio Sarda, MD

• Chiropractor in Orange, TX
• Providers in Orange, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.