Rudeseal Chiropractic Clinic, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4296 Issued in TX

Legal business name

RUDESEAL CHIROPRACTIC CLINIC, INC.

Practice address

1312 W Park Ave
Orange, TX 77630-4949

Phone

(409) 883-3942

Fax

(409) 883-3108

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Wayne Rudeseal, D.C.

Title

Owner

Phone

(409) 883-3942

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1124149554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 W PARK AVE",
            "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": "409-883-3942",
            "fax_number": "409-883-3108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDESEAL CHIROPRACTIC CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "RUDESEAL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-883-3942",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI FOR RONALD RUDESEAL",
            "identifier": "1124105135",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1198947-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dane Craig Risinger, DDS
• Brandy Nicole Rizzato, AGNP
• Rosemary House of Orange, LLC
• Jacie Ross, FNP-C
• Valen Elliott Ross, DDS
• Ronald Wayne Rudeseal, DC
• William Martin Rutledge Jr., MD
• Samuel J. Pangburn, D.O., PA
• Tanya Sanders
• Jerry D Sanford, D.C.

• All providers in Orange, TX
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.