Organization Active NPI

Rush Chiropractic, LLC

  • Chiropractor
  • Billings, MO
National Provider Identifier
1689027641
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2015014359 Issued in MO
Legal business name
RUSH CHIROPRACTIC, LLC
Practice address
7450 State Highway 14 W
Billings, MO 65610-9489
Phone
(417) 583-3065
Fax
(417) 583-3064
NPI assigned
Jul 14, 2016
Last updated
Jul 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Authorized official

Name
Dr. Logan Wayne Rush, D.CNPI 1457739294
Title
Doctor of Chiropractic/Owner
Phone
(417) 583-3065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2015014359 MO Primary

Addresses

Primary practice location

7450 State Highway 14 W
Billings, MO 65610-9489

Mailing address

PO Box 64
Clever, MO 65631-0064
Phone (417) 583-3065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160726000312 MO Part B Supplier - Clinic/Group Practice 5496048647 Receives reassigned benefits from 1 practitioner
Practice locations: Clever, MO

National Provider Directory

National Provider Directory

Locations

7450 State Highway 14 W
Billings, MO 65610
Phone (417) 583-3065

7450 W Veterans Blvd
Clever, MO 65631
Phone (417) 583-3065

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468454400000",
    "number": "1689027641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64",
            "city": "CLEVER",
            "state": "MO",
            "postal_code": "656310064",
            "telephone_number": "417-583-3065",
            "fax_number": "417-583-3064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 STATE HIGHWAY 14 W",
            "city": "BILLINGS",
            "state": "MO",
            "postal_code": "656109489",
            "telephone_number": "417-583-3065",
            "fax_number": "417-583-3064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-14",
        "status": "A",
        "authorized_official_last_name": "RUSH",
        "authorized_official_first_name": "LOGAN",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC/OWNER",
        "authorized_official_telephone_number": "417-583-3065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015014359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Billings, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; 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.