Daniel Ruitenbeek, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIR010086 Issued in GA

Practice address

4880 Lower Roswell Rd Ste 20
Marietta, GA 30068-4385

Phone

(470) 381-1787

NPI assigned

Jan 23, 2019

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.

• Explore Health & Wellness

  • Chiropractor
  • Marietta, GA
  • NPI 1750059614
  NPD (past) Authorized official

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

{
    "created_epoch": "1548201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1346704491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "589 SAINT JAMES WALK SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 LOWER ROSWELL RD STE 20",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684385",
            "telephone_number": "470-381-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUITENBEEK",
        "first_name": "DANIEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-23",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Rucker
• Meghan Alexandria Rud, PT, DPT
• Sherry Lynn Rudd, DDS
• Renee M. Rudolph, LMT
• April Ruffin, MD
• Jessica Ruiz, LPC
• Katherine Ann Rule, OTD
• Terrica W Rumph, CRNP, FNP-C
• Stevye Rupp, RBT
• Barry Robert Rush, M.D.

• Chiropractor in Marietta, GA
• Providers in Marietta, GA by specialty
• Chiropractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.