Andrew David Rudolph, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH9068 Issued in FL

Practice address

4400 NW 23Rd Ave
Gainesville, FL 32606-6580

Phone

(352) 371-4120

Fax

(352) 371-3378

NPI assigned

Jan 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Chiropractic Solutions of Gainesville IncGroup PAC ID 2264562586, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Chiropractic Solutions of Gainesville Inc

  • Chiropractor
  • Gainesville, FL
  • NPI 1386966885
  Medicare reassignment Care Compare group NPD
• Helping Hands Chiropractic Center LC

  • Chiropractor
  • Gainesville, FL
  • NPI 1730240755
  NPD (past)

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508910837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7094 NW 52ND TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326537011",
            "telephone_number": "352-870-8974",
            "fax_number": "352-371-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 NW 23RD AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066580",
            "telephone_number": "352-371-4120",
            "fax_number": "352-371-3378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "ANDREW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Rucker
• Russell Blain Rucks
• Ilya Rud
• Lauren Anne Ruddocks, BDS
• Peter L. Rudnytsky, PH.D., LCSW
• Dylan C Rudolph, MD
• Shannon Michiyo Rudolph, D.C.
• Luis Jaime Rueda, D.D.S., M.S.D.
• Kyle W Ruffing, MD
• Andrea G Ruggieri, RN

• Chiropractor in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.