NPIMap

Organization Active NPI

Ruby Mountain Chiropractic Center, Inc.

  • Chiropractor
  • Elko, NV
National Provider Identifier
1164607362
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
B01082 Issued in NV
Legal business name
RUBY MOUNTAIN CHIROPRACTIC CENTER, INC.
Practice address
123 Second Street
Elko, NV 89801-3614
Phone
(775) 777-3033
Fax
(775) 777-3045
NPI assigned
Jan 7, 2008
Last updated
Jan 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Todd S Wendell, DCNPI 1508814328
Title
Owner
Phone
(775) 777-3045

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X B01082 NV Primary
Rehabilitation Chiropractor 111NR0400X B736 NV

Addresses

Primary practice location

123 Second Street
Elko, NV 89801-3614

Mailing address

123 Second Street
Elko, NV 89801-3614
Phone (775) 777-3033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040628001305 NV Part B Supplier - Clinic/Group Practice 1254317456 Receives reassigned benefits from 1 practitioner
Practice locations: Elko, NV

National Provider Directory

National Provider Directory

Locations

123 2nd St
Elko, NV 89801
Phone (775) 777-3033

618 Idaho St
Ste 1
Elko, NV 89801
Phone (775) 777-3033

Practitioners & affiliated clinicians

Practitioners 4

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": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1164607362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SECOND STREET",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013614",
            "telephone_number": "775-777-3033",
            "fax_number": "775-777-3045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SECOND STREET",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013614",
            "telephone_number": "775-777-3033",
            "fax_number": "775-777-3045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBY MOUNTAIN CHIROPRACTIC CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "WENDELL",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-777-3045",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NV",
            "license": "B01082",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NV",
            "license": "B736",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.