Allen Edward Rudolph, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

887 Issued in ND

Practice address

1839 E Capitol Ave Ste B
Bismarck, ND 58501

Phone

(701) 369-3938

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Dynamic Health Soultions, Inc

  • Chiropractor
  • Bismarck, ND
  • NPI 1750578993
  Medicare reassignment Authorized official
• Leingang Chiropractic & Wellness, PC

  • Chiropractor
  • Mandan, ND
  • NPI 1760666887
  NPD (past)
• Homecare Chiropractic, P.a.

  • Chiropractor
  • Vadnais Heights, MN
  • NPI 1437233814
  NPD (past)

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1831217462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1839 E CAPITOL AVE STE B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585015617",
            "telephone_number": "507-380-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1839 E CAPITOL AVE STE B",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "58501",
            "telephone_number": "701-369-3938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 1st St NW",
            "address_2": "suite A",
            "address_purpose": "LOCATION",
            "city": "Mandan",
            "state": "ND",
            "postal_code": "585543118",
            "country_code": "US",
            "telephone_number": "507-380-6812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "919 S 7th St Ste 505",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585045835",
            "country_code": "US",
            "telephone_number": "701-369-3938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "919 S 7th St Ste 505",
            "address_purpose": "LOCATION",
            "city": "Bismarck",
            "state": "ND",
            "postal_code": "585045835",
            "country_code": "US",
            "telephone_number": "701-369-3938",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "ALLEN",
        "middle_name": "EDWARD",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4016",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "887",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "887",
            "state": "ND"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17325",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles S Rothberg, MD
• Alicia Rouser
• Sara Rowe, LMT
• Billie J Rud, NP
• Andrea Rudnick, FNP
• Cody Ruff
• Jenna Ruff, CCC-SLP
• Alyssa Ann Rufsvold, DNP, FNP-C
• Tamara Ruggles, PHARMD
• Shantelle Grace Rule

• Chiropractor in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.