Active NPI
Rudder Chiropractic Center, LLC
- Chiropractor
- Winchester, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2192
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081006000672 | TN | Part B Supplier - Clinic/Group Practice | 0840368692 |
Receives reassigned benefits from 4 practitioners Practice locations: Decherd, TN |
National Provider Directory
National Provider DirectoryLocations
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
- 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.
-
- Chiropractor
- Winchester, TN
- NPI 1295948081
-
- Chiropractor
- Smyrna, TN
- NPI 1629803275
-
- Chiropractor
- Chattanooga, TN
- NPI 1720001704
-
- Chiropractor
- Decherd, TN
- NPI 1093405821
-
- Chiropractor
- Manchester, TN
- NPI 1407872435
-
- Chiropractor
- Estill Springs, TN
- NPI 1659586766
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.