Active NPI
Morgan Ruddiman
- Chiropractor
- Vancouver, WA
National Provider Identifier
1467803106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60642112
- Practice address
- 13712 NE 20TH Ave
Suite a
Vancouver, WA 98686-2698 - Phone
- (360) 574-5944
- Fax
- (360) 574-6430
- NPI assigned
- Jun 23, 2016
- 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 | CH60642112 | WA | Primary |
Addresses
Primary practice location
13712 NE 20TH Ave
Suite a
Vancouver, WA 98686-2698
Mailing address
13712 NE 20TH Ave
Suite a
Vancouver, WA 98686-2698
Phone (360) 574-5944
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2210 W Main St
Suite 101
Battle Ground, WA 98604-4232
Phone (360) 369-5150
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH60642112 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiro One Wellness Center of Salmon Creek, PLLC | Chiropractor | Current | Accepting new patients |
| Battle Ground Advantage Chiropractic PS | Chiropractor | Current | Accepting new patients |
Locations
2210 W Main St
Ste 101
Battle Ground, WA 98604
Phone (360) 369-5150
13800 NE 20th Ave
Vancouver, WA 98686
Phone (360) 574-5944
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.
-
dba Advantage Chiropractic
- Chiropractor
- Battle Ground, WA
- NPI 1104507425
-
- Chiropractor
- Vancouver, WA
- NPI 1669007613
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1467803106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13712 NE 20TH AVE",
"address_2": "SUITE A",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986862698",
"telephone_number": "360-574-5944",
"fax_number": "360-574-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13712 NE 20TH AVE",
"address_2": "SUITE A",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986862698",
"telephone_number": "360-574-5944",
"fax_number": "360-574-6430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDDIMAN",
"first_name": "MORGAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-23",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60642112",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; 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.