Individual provider Active NPI

Ruste M Houghton, DC

  • Chiropractor
  • Fresno, CA
National Provider Identifier
1417076910
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC30295 Issued in CA
Practice address
285 W Shaw Ave Ste 102
Fresno
Fresno, CA 93704-2654
Phone
(559) 286-5851
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC30295 CA Primary

Addresses

Primary practice location

285 W Shaw Ave Ste 102
Fresno
Fresno, CA 93704-2654

Mailing address

1830 E Shepherd Ave Apt 108
Fresno, CA 93720-5616
Phone (559) 779-4528

Other names 1

  • Ruste M Jenkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC30295CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Performance Physical Therapy, Inc. CurrentSince Oct 1, 2019 Accepting new patients
United Health Centers of the San Joaquin Valley Past Accepting new patients

Locations

1180 W Olive Ave
Ste I
Merced, CA 95348
Phone (209) 384-3255

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ruste.parker.1@17661.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1417076910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 E SHEPHERD AVE APT 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937205616",
            "telephone_number": "559-779-4528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 W SHAW AVE STE 102",
            "address_2": "FRESNO",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937042654",
            "telephone_number": "559-286-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGHTON",
        "first_name": "RUSTE",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC30295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUSTE",
            "last_name": "JENKINS",
            "middle_name": "M",
            "credential": "DC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; 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.