Canyon Ridge Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5943 Issued in CO

Legal business name

CANYON RIDGE CHIROPRACTIC PC

Practice address

7280 Lagae Rd
Suite B
Castle Rock, CO 80108-9452

Phone

(330) 660-3505

Fax

(303) 660-8905

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bryan J Rudiak, DCNPI 1659426054

Title

President

Phone

(303) 660-3505

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Practitioners 1

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

• Bryan J Rudiak, D.C.

  • Chiropractor
  • Castle Rock, CO
  • NPI 1659426054
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376698787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7280 LAGAE RD",
            "address_2": "SUITE B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801089452",
            "telephone_number": "330-660-3505",
            "fax_number": "303-660-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7280 LAGAE RD",
            "address_2": "SUITE B",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801089452",
            "telephone_number": "330-660-3505",
            "fax_number": "303-660-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON RIDGE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUDIAK",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-660-3505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cory M Campbell, D.C.
• John Thomas Campbell II, M.D.
• Laura Anne Campbell
• Paige Campbell
• Athena Audrie Cantrall
• Timothy Casey Capps, LCP
• Cardiowell 360
• Jeremy G Cardon, D.M.D.
• Care in Colorado, LLC
• Carehub Behavioral Health Solutions, LLC

• Chiropractor in Castle Rock, CO
• Providers in Castle Rock, CO by specialty
• Chiropractor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.