Active NPI
Logan Rush, D.C.
- Chiropractor
- Doniphan, MO
National Provider Identifier
1457739294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2015014359
- Practice address
- 8 Oak Tree VLG
Doniphan, MO 63935-1901 - Phone
- (573) 996-7276
- Fax
- (573) 996-4657
- NPI assigned
- May 13, 2015
- Sex
- Male
- Sole proprietor
- No
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 | 2015014359 | MO | Primary |
Addresses
Primary practice location
8 Oak Tree VLG
Doniphan, MO 63935-1901
Mailing address
8 Oak Tree VLG
Doniphan, MO 63935-1901
Phone (573) 996-7276
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7450 W Veterans Blvd
Clever, MO 65631-6861
Phone (417) 583-3065
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015014359 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Current River Chiropractic LLC | Chiropractor | Current | Accepting new patients |
| Lamoureux Chiropractic Centre | Past | Accepting new patients |
Locations
8 Oak Tree Vlg
Doniphan, MO 63935
Phone (573) 996-7276
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.
-
- Chiropractor
- Doniphan, MO
- NPI 1649900499
-
- Clinic/Center
- Doniphan, MO
- NPI 1073992509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431475200000",
"number": "1457739294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 OAK TREE VLG",
"city": "DONIPHAN",
"state": "MO",
"postal_code": "639351901",
"telephone_number": "573-996-7276",
"fax_number": "573-996-4657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 OAK TREE VLG",
"city": "DONIPHAN",
"state": "MO",
"postal_code": "639351901",
"telephone_number": "573-996-7276",
"fax_number": "573-996-4657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSH",
"first_name": "LOGAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-13",
"last_updated": "2015-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2015014359",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doniphan, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; 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.