Evan Ruterbories, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

089869 Issued in IA

Practice address

4281 Sergeant Rd
Sioux City, IA 51106-4625

Phone

(712) 259-7187

NPI assigned

Mar 20, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Evan Ruterbories DC PC

  • Clinic/Center
  • Sioux City, IA
  • NPI 1982196952
  NPD (past) Authorized official

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1306340864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4713 MEADOWLARK LN",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511069769",
            "telephone_number": "712-259-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4281 SERGEANT RD",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064625",
            "telephone_number": "712-259-7187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTERBORIES",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "089869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avianna Rupp
• Erin Rupp
• Emily Marie Ruppert, TLMHC
• Heather Rush, PT, DPT
• Alexandra Rust, PT, DPT
• Ryan J Canada DMD PLLC
• Bonnie Ivadell Ryan, RN
• Laressa Ryan, NP
• Kelly Ryder, M.D.
• S-H Opco Northpark Place, LLC (Brookdale Sioux City)

• Chiropractor in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.