Active NPI
Patrick Joseph Ruddy I, DC
- Chiropractor
- West Branch, MI
National Provider Identifier
1437215167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301004988
- Practice address
- 2268 S M 76
West Branch, MI 48661-8700 - Phone
- (898) 934-5001
- Fax
- (989) 345-0014
- NPI assigned
- Dec 28, 2006
- Last updated
- Mar 26, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301004988 | MI | Primary |
Addresses
Primary practice location
2268 S M 76
West Branch, MI 48661-8700
Mailing address
2268 S M 76
West Branch, MI 48661-8700
Phone (989) 345-0010
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ogemaw Chiropractic Clinic | Chiropractor | Past | Accepting new patients |
| Ambe Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238025600000",
"number": "1437215167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2268 S M 76",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486618700",
"telephone_number": "989-345-0010",
"fax_number": "989-345-0014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2268 S M 76",
"city": "WEST BRANCH",
"state": "MI",
"postal_code": "486618700",
"telephone_number": "898-934-5001",
"fax_number": "989-345-0014"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDDY",
"first_name": "PATRICK",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-28",
"last_updated": "2009-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301004988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Branch, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.