David Grant Rudnick, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9514 Issued in FL

Practice address

8794 Boynton Beach Blvd
Ste 107
Boynton Beach, FL 33472-4468

Phone

(561) 364-4111

Fax

(561) 364-5221

NPI assigned

Jan 30, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Chiropractic and Sports Rehabilitation Institute

  • Chiropractor
  • Boynton Beach, FL
  • NPI 1457594673
  NPD (past) Authorized official

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337212800000",
    "number": "1194902239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8794 BOYNTON BEACH BLVD",
            "address_2": "STE 107",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724468",
            "telephone_number": "561-364-4111",
            "fax_number": "561-364-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8794 BOYNTON BEACH BLVD",
            "address_2": "STE 107",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334724468",
            "telephone_number": "561-364-4111",
            "fax_number": "561-364-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDNICK",
        "first_name": "DAVID",
        "middle_name": "GRANT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-30",
        "last_updated": "2012-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "70328",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edward M Rubin, MD
• Stuart Alan Rubin, MD
• Laura Rubinate, DO
• Kenneth D Rubinstein, DMD
• Jessica Rucker, M.S., CCC-SLP
• Ruel T Stoessel MD PA
• Jhunior Ruisanchez Escarra
• Marisol Ruiz Ahumada, DC
• Naomi Ruiz Coffat
• Tierra Tyniece Rushing, LCSW

• Chiropractor in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.