Ruddell Chiropractic Center Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6023 Issued in AZ

Legal business name

RUDDELL CHIROPRACTIC CENTER INC.

Practice address

4864 E Baseline Rd
Ste 105
Mesa, AZ 85206-4629

Phone

(480) 558-1900

Fax

(480) 633-6086

NPI assigned

Dec 10, 2008

Last updated

Apr 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ty S Ruddell, D.C.NPI 1982767349

Title

President

Phone

(480) 558-1900

Specialties & licenses 1

Addresses

Locations

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.

• Ty Sanders Ruddell, DC

  • Chiropractor
  • Mesa, AZ
  • NPI 1982767349
  Authorized official Same address or phone

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

{
    "created_epoch": "1228867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240790400000",
    "number": "1255576823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4864 E BASELINE RD",
            "address_2": "SUITE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064629",
            "telephone_number": "480-558-1900",
            "fax_number": "480-633-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 E BASELINE RD",
            "address_2": "STE 105",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852064629",
            "telephone_number": "480-558-1900",
            "fax_number": "480-633-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDDELL CHIROPRACTIC CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-10",
        "last_updated": "2009-04-27",
        "status": "A",
        "authorized_official_last_name": "RUDDELL",
        "authorized_official_first_name": "TY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-558-1900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "6023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martin H Rubin, MD
• Michael Eugene Rubin, M.D.
• Ruc LLC
• Rucan Health Angels LLC (We Love Seniors)
• Kristy Rucker
• Ty Sanders Ruddell, DC
• Tom Richard Ruddy
• Lindsay M Ruder, PA-C
• Yasir Rudha, M.D.
• Melissa A Rudolph, PT, DPT

• Chiropractor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.