Active NPI
Troy Houston Rutledge, DC
- Chiropractor
- Charlotte, NC
National Provider Identifier
1528792157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5518
- Practice address
- 624 Tyvola Rd Ste 100
Charlotte, NC 28217-3585 - Phone
- (704) 770-8436
- Fax
- (704) 900-8222
- NPI assigned
- Jul 11, 2022
- 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 | 5518 | NC | Primary |
Addresses
Primary practice location
624 Tyvola Rd Ste 100
Charlotte, NC 28217-3585
Mailing address
624 Tyvola Rd Ste 100
Charlotte, NC 28217-3585
Phone (704) 770-8436
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5518 | NC | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657497600000",
"number": "1528792157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 TYVOLA RD STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282173585",
"telephone_number": "704-770-8436",
"fax_number": "704-900-8222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 TYVOLA RD STE 100",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282173585",
"telephone_number": "704-770-8436",
"fax_number": "704-900-8222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTLEDGE",
"first_name": "TROY",
"middle_name": "HOUSTON",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-11",
"last_updated": "2022-07-11",
"certification_date": "2022-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "5518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.