Wayne L Rudnick, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5512 Issued in AZ

Practice address

570 N Columbus Blvd
Tucson, AZ 85711-2957

Phone

(520) 323-8989

Fax

(520) 327-9751

NPI assigned

Jun 10, 2005

Reactivated

Apr 25, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

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 and National Provider Directory roles.

• Wayne L Rudnick DC PC

  • Chiropractor
  • Tucson, AZ
  • NPI 1215140876
  Medicare reassignment NPD Authorized official
• D W Centers LLC

  • Chiropractor
  • Mesa, AZ
  • NPI 1043356496
  NPD (past) Authorized official

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1679577290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 N COLUMBUS BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112957",
            "telephone_number": "520-323-8989",
            "fax_number": "520-327-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 N COLUMBUS BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112957",
            "telephone_number": "520-323-8989",
            "fax_number": "520-327-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDNICK",
        "first_name": "WAYNE",
        "middle_name": "L",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2018-12-12",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "5512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "AZ0244490",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Troy Rud, DO
• Kim Ruddick
• Kadly K Ruder, DNP, APRN, AGNP-C
• Shaun Steven Rudh, MSW, LCSW
• Robin Addell Rudic, LCSW
• David Richard Rudolph, FNP
• Kelly Rudolph, RN
• Pravalika Rudraraju, MD
• Carlos Brian Rue, ATC/L
• Christina Rue

• Chiropractor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; 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.