Organization Active NPI

Rusick Chiropractic, LLC

  • Chiropractor
  • Avondale, AZ
National Provider Identifier
1790968915
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
7155 Issued in AZ
Legal business name
RUSICK CHIROPRACTIC, LLC
Practice address
10320 W McDowell Rd Ste M1341
Avondale, AZ 85392-4878
Phone
(623) 932-5200
Fax
(632) 932-5220
NPI assigned
Dec 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Dr. David F Rusick, D.C.
Title
Doctor of Chiropractic
Phone
(623) 932-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 7155 AZ Primary

Addresses

Primary practice location

10320 W McDowell Rd Ste M1341
Avondale, AZ 85392-4878

Mailing address

10320 W McDowell Rd Ste M1341
Avondale, AZ 85392-4878
Phone (623) 932-5200

Other identifiers 2

IdentifierTypeStateIssuer
AZ0940410OtherAZBCBS
488569OtherAZUPIN

National Provider Directory

National Provider Directory

Locations

14175 W Indian School Rd
Ste A6
Goodyear, AZ 85395
Phone (480) 924-7632

14175 W Indian School Rd
Ste D4
Goodyear, AZ 85395
Phone (623) 932-5200

NPI Registry JSON

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1790968915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 W MCDOWELL RD STE M1341",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924878",
            "telephone_number": "623-932-5200",
            "fax_number": "632-932-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 W MCDOWELL RD STE M1341",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853924878",
            "telephone_number": "623-932-5200",
            "fax_number": "632-932-5220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSICK CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "RUSICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "623-932-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0940410",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "488569",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.