Arvil Lonnie Rudd, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

0104887 Issued in KS

Practice address

6220 Antioch Rd
Ste 200
Shawnee Mission, KS 66202-5107

Phone

(913) 722-1113

Fax

(913) 722-2677

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Kansas City, 2002

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Custom Chiropractic Center LLC

  • Chiropractor
  • Shawnee Mission, KS
  • NPI 1659562148
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396832812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6220 ANTIOCH RD",
            "address_2": "STE 200",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662025107",
            "telephone_number": "913-722-1113",
            "fax_number": "913-722-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6220 ANTIOCH RD",
            "address_2": "STE 200",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662025107",
            "telephone_number": "913-722-1113",
            "fax_number": "913-722-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDD",
        "first_name": "ARVIL",
        "middle_name": "LONNIE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "0104887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00220339",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "33911023",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jillian Roedel, PHARMD
• Andrea Rosewell, CRNA
• Michelle Marie Rossi
• Alyssa Rousseau
• Heather Roy, DNP, APRN, FNP-BC
• Holly Jean Ruder, PHARM.D
• Mary J Ruff, CRNA
• Michael Edwin Ryan, M.D.
• Sherry L Ryan, MD
• Robert A Rymer, M.D.

• Chiropractor in Shawnee Mission, KS
• Providers in Shawnee Mission, KS by specialty
• Chiropractor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.