Organization Active NPI

Rutkowski Family Chiropractic P.C.

  • Clinic/Center
  • Somerset, MA
National Provider Identifier
1457626731
Registry record updated Mar 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
CH 1804 Issued in MA
Legal business name
RUTKOWSKI FAMILY CHIROPRACTIC P.C.
Practice address
1592 Grand Army Hwy
Somerset, MA 02726-1210
Phone
(508) 673-5400
Fax
(508) 673-6336
NPI assigned
Mar 20, 2012
Last updated
Mar 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2016

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

Authorized official

Name
Dr. Ross D. Rutkowski, D.C.NPI 1942337639
Title
President/Owner
Phone
(508) 673-5400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CH 1804 MA Primary

Addresses

Primary practice location

1592 Grand Army Hwy
Somerset, MA 02726-1210

Mailing address

1592 Grand Army Hwy
Somerset, MA 02726-1210
Phone (508) 673-5400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140506000908 MA Part B Supplier - Clinic/Group Practice 9931332590 Receives reassigned benefits from 1 practitioner
Practice locations: Somerset, MA

National Provider Directory

National Provider Directory

Locations

1592 Grand Army Hwy
Somerset, MA 02726
Phone (508) 673-5400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1457626731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1592 GRAND ARMY HWY",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027261210",
            "telephone_number": "508-673-5400",
            "fax_number": "508-673-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1592 GRAND ARMY HWY",
            "city": "SOMERSET",
            "state": "MA",
            "postal_code": "027261210",
            "telephone_number": "508-673-5400",
            "fax_number": "508-673-6336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTKOWSKI FAMILY CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-20",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "RUTKOWSKI",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "508-673-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MA",
            "license": "CH 1804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.