Jeremy Rudkin, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301010434 Issued in MI

Practice address

7900 Caberfae TRL
Clarkston, MI 48348-3707

Phone

(586) 530-8838

NPI assigned

Jan 18, 2017

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

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Rumph Chiropractic Clinic PC

  • Chiropractor
  • Waterford, MI
  • NPI 1659405868
  Medicare reassignment NPD
• PJJ PLC

  • Chiropractor
  • Kalkaska, MI
  • NPI 1477154466
  NPD (past)

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1154867836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 CABERFAE TRL",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483483707",
            "telephone_number": "586-530-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 CABERFAE TRL",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483483707",
            "telephone_number": "586-530-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDKIN",
        "first_name": "JEREMY",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany A Roy, MA, LLPC, NCC
• Lauren Rae Ruben, MS, LPC
• Saul M Rubenstein, M.D.
• Vivianna Rubles, LLPC
• Leah Marie Ruddock
• Kelsey Ann Ruffin, BCBA
• Karen Marie Rusniak, PHD
• Sabrina Russom, NP-BC
• Katie Lyn Rutkowski, P.A.-C
• Thomas Joseph Rydzon, DDS

• Chiropractor in Clarkston, MI
• Providers in Clarkston, MI by specialty
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.