Organization Active NPI

Wayne L Rudnick DC PC

Doing business as Tucson Chiropractic Center

  • Chiropractor
  • Tucson, AZ
National Provider Identifier
1215140876
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5512 Issued in AZ
Legal business name
WAYNE L RUDNICK DC PC
Doing business as
Tucson Chiropractic Center
Practice address
570 N Columbus Blvd
Tucson, AZ 85711-2957
Phone
(520) 323-8989
Fax
(520) 327-9751
NPI assigned
May 8, 2007
Last updated
Dec 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Dr. Wayne Lloyd Rudnick, DCNPI 1679577290
Title
Doctor Owner
Phone
(520) 323-8989

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5512 AZ Primary

Addresses

Primary practice location

570 N Columbus Blvd
Tucson, AZ 85711-2957

Mailing address

570 N Columbus Blvd
Tucson, AZ 85711-2957
Phone (520) 323-8989

Other names 1

  • Tucson Chiropractic Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040707000413 AZ Part B Supplier - Clinic/Group Practice 0547247546 Receives reassigned benefits from 1 practitioner
Practice locations: Tucson, AZ

National Provider Directory

National Provider Directory

Locations

570 N Columbus Blvd
Tucson, AZ 85711
Phone (520) 323-8989

Practitioners & affiliated clinicians

Practitioners 1

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": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1215140876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 N COLUMBUS BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112957",
            "telephone_number": "520-323-8989",
            "fax_number": "520-327-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 N COLUMBUS BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112957",
            "telephone_number": "520-323-8989",
            "fax_number": "520-327-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYNE L RUDNICK DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "RUDNICK",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "LLOYD",
        "authorized_official_title_or_position": "DOCTOR  OWNER",
        "authorized_official_telephone_number": "520-323-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tucson Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; 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.