Individual provider Active NPI

David Frank Rusick, D.C.

  • Chiropractor
  • Goodyear, AZ
National Provider Identifier
1467529156
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7155 Issued in AZ
Practice address
14175 W Indian School Rd
Suite a-6
Goodyear, AZ 85395
Phone
(623) 932-5200
Fax
(623) 932-5220
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 7155 AZ Primary

Addresses

Primary practice location

14175 W Indian School Rd
Suite a-6
Goodyear, AZ 85395

Mailing address

14175 W Indian School Rd
Suite a-6
Goodyear, AZ 85395
Phone (623) 932-5200

Other identifiers 1

IdentifierTypeStateIssuer
AZ0940410OtherAZBCBS PROVIDER #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802000350 AZ Practitioner - Chiropractic 7719958156 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Chiromed Goodyear LLCGroup PAC ID 9739628488, 2 clinicians

Practice addresses (Care Compare)

14175 W Indian School Rd
Suite A6
Goodyear, AZ 85395-8409
Phone (623) 932-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Chiromed Buckeye LLC Chiropractor CurrentSince Jan 1, 2025 Accepting new patients
Southwest Chiromed Goodyear LLC Chiropractor CurrentSince Aug 1, 2024 Accepting new patients

Locations

305 N 4th St
Buckeye, AZ 85326
Phone (480) 924-7632

14175 W Indian School Rd
Ste A6
Goodyear, AZ 85395
Phone (480) 924-7632

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": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1467529156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14175 W INDIAN SCHOOL RD",
            "address_2": "SUITE A-6",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "623-932-5200",
            "fax_number": "623-932-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14175 W INDIAN SCHOOL RD",
            "address_2": "SUITE A-6",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "85395",
            "telephone_number": "623-932-5200",
            "fax_number": "623-932-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSICK",
        "first_name": "DAVID",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "AZ0940410",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.

Verify at the official NPI Registry.