Active NPI
Ryan A Rustigan, DC
- Chiropractor
- Clovis, CA
National Provider Identifier
1659308997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC29416
- Practice address
- 80 Alamos Ave Apt 101
Clovis, CA 93612-3885 - Phone
- (559) 437-0606
- Fax
- (559) 437-0116
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | DC29416 | CA | Primary |
Addresses
Primary practice location
80 Alamos Ave Apt 101
Clovis, CA 93612-3885
Mailing address
1360 N Fresno St
Fresno, CA 93703-3838
Phone (559) 437-0606
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC29416 | CA | MD | Chiropractor |
| 29416 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kopper Chiropractic, Inc. | Chiropractor | Current | Accepting new patients |
| Santa Maria P.C. Dba Caremore Chiropractic Centers | Chiropractor | Past | Accepting new patients |
Locations
1374 Smith St
Kingsburg, CA 93631
Phone (559) 897-5801
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Kingsburg, CA
- NPI 1972921476
-
- Chiropractor
- Albuquerque, NM
- NPI 1538173463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659308997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1360 N FRESNO ST",
"city": "FRESNO",
"state": "CA",
"postal_code": "937033838",
"telephone_number": "559-437-0606",
"fax_number": "559-437-0116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 ALAMOS AVE APT 101",
"city": "CLOVIS",
"state": "CA",
"postal_code": "936123885",
"telephone_number": "559-437-0606",
"fax_number": "559-437-0116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSTIGAN",
"first_name": "RYAN",
"middle_name": "A",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC29416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clovis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.