Organization Active NPI

Ruggiero Family Chiropractic & Rehabilitation Center, LLC

  • Chiropractor
  • Manchester, CT
National Provider Identifier
1780781989
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1454 Issued in CT
Legal business name
RUGGIERO FAMILY CHIROPRACTIC & REHABILITATION CENTER, LLC
Practice address
1047 Main St
Manchester, CT 06040-6013
Phone
(860) 643-2888
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Brian Stephen Ruggiero, D.C.NPI 1871691998
Title
Owner
Phone
(860) 643-2888

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1454 CT Primary

Addresses

Primary practice location

1047 Main St
Manchester, CT 06040-6013

Mailing address

1047 Main St
Manchester, CT 06040-6013
Phone (860) 643-2888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051121000064 CT Part B Supplier - Clinic/Group Practice 4880613702 Receives reassigned benefits from 1 practitioner
Practice locations: Manchester, CT

National Provider Directory

National Provider Directory

Locations

1047 Main St
Manchester, CT 06040
Phone (860) 643-2888

935 Main St
Ste B104
Manchester, CT 06040
Phone (860) 643-2888

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780781989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1047 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406013",
            "telephone_number": "860-643-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1047 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060406013",
            "telephone_number": "860-643-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUGGIERO FAMILY CHIROPRACTIC & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUGGIERO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-643-2888",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "1454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.