Ruckel, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

08001766 Issued in IN

Legal business name

RUCKEL, INC.

Practice address

7313 W Jefferson Blvd
Fort Wayne, IN 46804-6237

Phone

(260) 436-5200

Fax

(260) 436-1103

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. James S Ruckel, DCNPI 1871582783

Title

Doctor of Chiropractic

Phone

(260) 436-5200

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• James S Ruckel DC Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James S Ruckel, DC

  • Chiropractor
  • Fort Wayne, IN
  • NPI 1871582783
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1629250477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7313 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046237",
            "telephone_number": "260-436-5200",
            "fax_number": "260-436-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7313 W JEFFERSON BLVD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468046237",
            "telephone_number": "260-436-5200",
            "fax_number": "260-436-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUCKEL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "RUCKEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "260-436-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "350049797",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201041440",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000531878",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James S Ruckel DC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Zachary Keith Ruble, MED, ATC
• Taylor Renee Ruby
• Alexander Ruck
• Ruckel Chiropractic PC
• Charles E Ruckel, DC
• James S Ruckel, DC
• Ruckman Oral Surgery & Implant Center
• Phil Noble Ruckman III, D.D.S.
• Melea Ann Rudig
• Michael Rudoff, D.O.

• Chiropractor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Chiropractor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.