Wade Rustici, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2000161199 Issued in MO

Practice address

2307 NW South Outer Rd Ste 101
Blue Springs, MO 64015-1712

Phone

(816) 745-4532

Fax

(816) 295-9909

NPI assigned

Aug 19, 2006

Last updated

Mar 26, 2021By the provider in NPPES

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 MO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rustici Wellness Center

  • Chiropractor
  • Lee's Summit, MO
  • NPI 1265987804
  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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1205940954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 NW SOUTH OUTER RD STE 101",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640151712",
            "telephone_number": "816-745-4532",
            "fax_number": "816-295-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 NW SOUTH OUTER RD STE 101",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640151712",
            "telephone_number": "816-745-4532",
            "fax_number": "816-295-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSTICI",
        "first_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2000161199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lila Rozell, PLPC
• Brittany Rubin, PTA
• Jennifer R Rucker, FNP-C
• Jamie S Russell, SLP
• Rustici Wellness Center
• Brenda Rae Rutherford, CRNA
• Amelia Noreen Ryan, PTA
• Kathryn Ryan, ARNP
• Stuart Ryder, DVM
• Saint Luke's Physician Group Inc

• Chiropractor in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.