Active NPI
Leonard Grant Rutherford, DC
- Chiropractor
- Eugene, OR
National Provider Identifier
1710007919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 27 3114
- Practice address
- 141 E 15TH Ave
Eugene, OR 97401-4006 - Phone
- (541) 343-1011
- Fax
- (541) 343-1011
- NPI assigned
- Mar 30, 2007
- 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 | 27 3114 | OR | Primary |
Addresses
Primary practice location
141 E 15TH Ave
Eugene, OR 97401-4006
Mailing address
141 E 15TH Ave
Eugene, OR 97401-4006
Phone (541) 343-1011
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103505 | Other | OR | PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100630000754 | OR | Practitioner - Chiropractic | 1658402953 | Practice locations: Eugene, OR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27 3114 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1710007919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E 15TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974014006",
"telephone_number": "541-343-1011",
"fax_number": "541-343-1011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 E 15TH AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974014006",
"telephone_number": "541-343-1011",
"fax_number": "541-343-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTHERFORD",
"first_name": "LEONARD",
"middle_name": "GRANT",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-30",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "27 3114",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PTAN",
"identifier": "103505",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; 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.