Daniel Ruddy, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001618 Issued in CT

Practice address

420 S Main St Lowr Level
Cheshire, CT 06410-3145

Phone

(203) 272-4513

Fax

(203) 699-8253

NPI assigned

Oct 20, 2006

Last updated

Jul 16, 2021By the provider in NPPES

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 CT

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2005

Medicare assignment

May accept Medicare assignment

Group practices

Alexander and Grenon Chiropractic Center PCGroup PAC ID 6709825060, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alexander and Grenon Chiropractic Center PC

  • Chiropractor
  • Cheshire, CT
  • NPI 1669674768
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1558443150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S MAIN ST LOWR LEVEL",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103145",
            "telephone_number": "203-272-4513",
            "fax_number": "203-699-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S MAIN ST LOWR LEVEL",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103145",
            "telephone_number": "203-272-4513",
            "fax_number": "203-699-8253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDDY",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Jane Rosenfield, LCSW
• Shannon Katherine Rouse, LMFT
• Amanda L Roy, DPT
• Alesandra Rubano, PHARMD
• Colleen Rubano, R.D.H.
• Joanna L Rudewicz, LSSW
• Julia C Ruggiero, LCSW
• Danielle Ruotolo, OT
• Kristen Rush, RPH
• Sean R Rusnack, CPHT

• Chiropractor in Cheshire, CT
• Providers in Cheshire, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.