Active NPI
Donald R Rueschhoff, D.C.
- Chiropractor
- Festus, MO
National Provider Identifier
1548366115
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 003625
- Practice address
- 620 Collins Dr
Festus, MO 63028-2077 - Phone
- (636) 937-9200
- Fax
- (636) 937-0900
- NPI assigned
- Sep 14, 2006
- 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 | 003625 | MO | Primary |
Addresses
Primary practice location
620 Collins Dr
Festus, MO 63028-2077
Mailing address
PO Box 96
620 Collins
Festus, MO 63028-0096
Phone (636) 937-9200
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12592 | Other | MO | BLUE CROSS BLUE SHIELD |
| 256474 | Other | MO | HEALTHLINK |
| 113166 | Other | MO | GROUP HEALTH PLAN |
| 0004541679 | Other | MO | AETNA |
| 609861 | Other | MO | UNITED HEALTHCARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1548366115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 96",
"address_2": "620 COLLINS",
"city": "FESTUS",
"state": "MO",
"postal_code": "630280096",
"telephone_number": "636-937-9200",
"fax_number": "636-937-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 COLLINS DR",
"city": "FESTUS",
"state": "MO",
"postal_code": "630282077",
"telephone_number": "636-937-9200",
"fax_number": "636-937-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUESCHHOFF",
"first_name": "DONALD",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-14",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "003625",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "12592",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "256474",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP HEALTH PLAN",
"identifier": "113166",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0004541679",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "609861",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Festus, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.