Organization Active NPI

Rudder Chiropractic Center, LLC

  • Chiropractor
  • Winchester, TN
National Provider Identifier
1265606396
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2192 Issued in TN
Legal business name
RUDDER CHIROPRACTIC CENTER, LLC
Practice address
1229 Dinah Shore Blvd
Winchester, TN 37398-1135
Phone
(931) 967-4199
Fax
(931) 967-4099
NPI assigned
Apr 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Dr. Amy Elaine Rudder, D.C.NPI 1295948081
Title
Managing Member
Phone
(931) 967-4199

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 2192 TN Primary

Addresses

Primary practice location

1229 Dinah Shore Blvd
Winchester, TN 37398-1135

Mailing address

1229 Dinah Shore Blvd
Winchester, TN 37398-1135
Phone (931) 967-4199

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081006000672 TN Part B Supplier - Clinic/Group Practice 0840368692 Receives reassigned benefits from 4 practitioners
Practice locations: Decherd, TN

National Provider Directory

National Provider Directory

Locations

25 Veterans Dr
Decherd, TN 37324
Phone (931) 962-2273

208 S Main St
Estill Springs, TN 37330
Phone (931) 649-3851

1229 Dinah Shore Blvd
Winchester, TN 37398
Phone (931) 967-4199

Interoperability endpoints

  • Direct secure messaging: aerudder@acr0001.direct.chirotouch.md

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1208476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1265606396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 DINAH SHORE BLVD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373981135",
            "telephone_number": "931-967-4199",
            "fax_number": "931-967-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 DINAH SHORE BLVD",
            "city": "WINCHESTER",
            "state": "TN",
            "postal_code": "373981135",
            "telephone_number": "931-967-4199",
            "fax_number": "931-967-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDDER CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-18",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "RUDDER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "931-967-4199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.