Individual provider Active NPI

Rusty L Myers, D.C.

  • Chiropractor
  • Zanesville, OH
National Provider Identifier
1740276708
Registry record updated Aug 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2417 Issued in OH
Practice address
1658 Maple Ave
Zanesville, OH 43701-2552
Phone
(740) 450-2225
Fax
(740) 450-2226
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2417 OH Primary

Addresses

Primary practice location

1658 Maple Ave
Zanesville, OH 43701-2552

Mailing address

1658 Maple Ave
Zanesville, OH 43701-2552
Phone (740) 450-2225

Other identifiers 9

IdentifierTypeStateIssuer
2383899MedicaidOH
300022209-00OtherOHBWC - GROUP
311520435OtherOHID - INDIVIDUAL
311520435-00OtherOHBWC - INDIVIDUAL
000000225959OtherOHANTHEM - INDIVIDUAL
000000225960OtherOHANTHEM - GROUP
2005789MedicaidOH
300022209OtherOHID - GROUP
300022209001OtherOHMEDICAL MUTUAL - GROUP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040116001094 OH Practitioner - Chiropractic 1658272158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1658 Maple Ave
Zanesville, OH 43701-2552
Phone (740) 450-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2417OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Associates of Zanesville LTD Chiropractor CurrentSince May 1, 2002 Accepting new patients

Locations

1658 Maple Ave
Zanesville, OH 43701
Phone (740) 450-2225

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438819200000",
    "number": "1740276708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1658 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012552",
            "telephone_number": "740-450-2225",
            "fax_number": "740-450-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1658 MAPLE AVE",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437012552",
            "telephone_number": "740-450-2225",
            "fax_number": "740-450-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "RUSTY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2015-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "2417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2383899",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC - GROUP",
            "identifier": "300022209-00",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID - INDIVIDUAL",
            "identifier": "311520435",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BWC - INDIVIDUAL",
            "identifier": "311520435-00",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - INDIVIDUAL",
            "identifier": "000000225959",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM - GROUP",
            "identifier": "000000225960",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2005789",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ID - GROUP",
            "identifier": "300022209",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL - GROUP",
            "identifier": "300022209001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; 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.