Individual provider Active NPI

Jimmy T. Ruland, D.C.

  • Chiropractor
  • Fort Worth, TX
National Provider Identifier
1447283338
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6175 Issued in TX
Practice address
3625 Western Center Blvd
Fort Worth, TX 76137-1936
Phone
(817) 498-7333
Fax
(817) 581-2866
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6175 TX Primary

Addresses

Primary practice location

3625 Western Center Blvd
Fort Worth, TX 76137-1936

Mailing address

PO Box 121309
Fort Worth, TX 76121-1309
Phone (817) 498-7333

Other identifiers 2

IdentifierTypeStateIssuer
001690901MedicaidTX
8V1250OtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060227000618 TX Practitioner - Chiropractic 4981610078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Chicago College of Medicine and Surgery, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Todd Ruland DC PCGroup PAC ID 9133386675, 4 clinicians

Practice addresses (Care Compare)

9608 Bartlett Cir
Suite 130
Fort Worth, TX 76108-4449
Phone (817) 367-7333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6175TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Todd Ruland D C P C Chiropractor CurrentSince Dec 1, 2011 Accepting new patients
Advanced Bone & Joint Care PLLC CurrentSince Oct 1, 2013 Accepting new patients
Metroplex Moblie Diagnostics Past Accepting new patients

Locations

9608 Bartlett Cir
Ste 130
Fort Worth, TX 76108
Phone (817) 367-2007

3625 Western Center Blvd
Ft Worth, TX 76137
Phone (817) 498-7333

101 Bluebonnet Dr
Ste 100
Weatherford, TX 76087

Organizations & group practices 3

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1447283338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121309",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761211309",
            "telephone_number": "817-498-7333",
            "fax_number": "817-581-2866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3625 WESTERN CENTER BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371936",
            "telephone_number": "817-498-7333",
            "fax_number": "817-581-2866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RULAND",
        "first_name": "JIMMY",
        "middle_name": "T.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001690901",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8V1250",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2008; 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.