Individual provider Active NPI

Richard C Rugen, DC

  • Chiropractor
  • Stony Brook, NY
National Provider Identifier
1811023336
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X1826 Issued in NY
Practice address
1556 Stony Brook Rd
Stony Brook, NY 11790-0571
Phone
(631) 751-1082
Fax
(631) 689-7876
NPI assigned
Feb 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X1826 NY Primary

Addresses

Primary practice location

1556 Stony Brook Rd
Stony Brook, NY 11790-0571

Mailing address

1556 Stony Brook Rd
PO Box 571
Stony Brook, NY 11790-0571
Phone (631) 751-1082

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
X1826NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811023336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 STONY BROOK RD",
            "address_2": "PO BOX 571",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900571",
            "telephone_number": "631-751-1082",
            "fax_number": "631-689-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 STONY BROOK RD",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900571",
            "telephone_number": "631-751-1082",
            "fax_number": "631-689-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGEN",
        "first_name": "RICHARD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X1826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.