Active NPI
Rusick Chiropractic, LLC
- Chiropractor
- Avondale, AZ
National Provider Identifier
1790968915
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7155
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AZ0940410 | Other | AZ | BCBS |
| 488569 | Other | AZ | UPIN |
National Provider Directory
National Provider DirectoryLocations
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.