Organization Active NPI

Ruckel Chiropractic PC

  • Clinic/Center
  • Fort Wayne, IN
National Provider Identifier
1649692385
Registry record updated Jan 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
08000913A Issued in IN
Legal business name
RUCKEL CHIROPRACTIC PC
Practice address
7231 Engle Rd
Suite 100
Fort Wayne, IN 46804-2226
Phone
(260) 432-5354
Fax
(260) 434-0534
NPI assigned
Jan 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2014

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

Authorized official

Name
Dr. Charles E. Ruckel, D.C.
Title
Doctor/Owner
Phone
(260) 432-5354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 08000913A IN Primary

Addresses

Primary practice location

7231 Engle Rd
Suite 100
Fort Wayne, IN 46804-2226

Mailing address

7231 Engle Rd
Suite 100
Fort Wayne, IN 46804-2226
Phone (260) 432-5354

National Provider Directory

National Provider Directory

Locations

7231 Engle Rd
Ste 100
Fort Wayne, IN 46804
Phone (260) 432-5354

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1649692385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7231 ENGLE RD",
            "address_2": "SUITE 100",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042226",
            "telephone_number": "260-432-5354",
            "fax_number": "260-434-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7231 ENGLE RD",
            "address_2": "SUITE 100",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468042226",
            "telephone_number": "260-432-5354",
            "fax_number": "260-434-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUCKEL CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "RUCKEL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "260-432-5354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "08000913A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.