Drake Robert Rustici, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2007017726 Issued in MO

Practice address

603Anewoods Chapel Rd
Lees Summit, MO 64064-1900

Phone

(816) 886-2035

Fax

(816) 503-8941

NPI assigned

Jul 23, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• Synergy Chiropractic LLC

  • Chiropractor
  • Lee's Summit, MO
  • NPI 1164896536
  Medicare reassignment NPD Authorized official
• Rustici and Associates Chiropractic

  • Chiropractor
  • Independence, MO
  • NPI 1689787723
  NPD (past)

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448582400000",
    "number": "1194925602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603ANEWOODS CHAPEL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641900",
            "telephone_number": "816-886-2035",
            "fax_number": "816-503-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603ANEWOODS CHAPEL RD",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640641900",
            "telephone_number": "816-886-2035",
            "fax_number": "816-503-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTICI",
        "first_name": "DRAKE",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2015-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2007017726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MA4745002",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Rae Ruoff, SLP
• Sharon Elen Rupp, COTA
• Katherine Ann Rush, PT
• Rene Russell, DNP
• Rustici Wellness Center
• Lauri Ann Ruth, PLPC
• Christina Rydeen
• Deborah Ann Ryken, MS, PLPC
• Nadya Sacry, DC
• Mariyam Sadikot

• Chiropractor in Lee's Summit, MO
• Providers in Lee's Summit, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.