NPIMap

Organization Active NPI

Rudeseal Chiropractic Clinic, Inc.

  • Chiropractor
  • Orange, TX
National Provider Identifier
1124149554
Registry record updated Nov 7, 2011
On this page

Key facts

NPPES NPI Registry
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
Last updated
Nov 7, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2011

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.NPI 1124105135
Title
Owner
Phone
(409) 883-3942

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 4296 TX Primary

Addresses

Primary practice location

1312 W Park Ave
Orange, TX 77630-4949

Mailing address

1312 W Park Ave
Orange, TX 77630-4949
Phone (409) 883-3942

National Provider Directory

National Provider Directory

Locations

1312 W Park Ave
Orange, TX 77630
Phone (409) 883-3942

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, TX

Sources for this page

  • 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.