Active NPI
James S Ruckel, DC
- Chiropractor
- Fort Wayne, IN
National Provider Identifier
1871582783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08001766
- Practice address
- 7313 W Jefferson Blvd
Fort Wayne, IN 46804-6237 - Phone
- (260) 436-5200
- Fax
- (260) 436-1103
- NPI assigned
- Oct 14, 2005
- Last updated
- Mar 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08001766 | IN | Primary |
Addresses
Primary practice location
7313 W Jefferson Blvd
Fort Wayne, IN 46804-6237
Mailing address
7313 W Jefferson Blvd
Fort Wayne, IN 46804-6237
Phone (260) 436-5200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000531878 | Other | IN | ANTHEMBC/BS |
| 350049797 | Other | IN | MEDICARE RAILROAD |
| 200156050A | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7313 W Jefferson Blvd
Fort Wayne, IN 46804-6237
Phone (260) 436-5200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ruckel, Inc. | Chiropractor | Current | Accepting new patients |
Locations
7313 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-5200
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206316800000",
"number": "1871582783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7313 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468046237",
"telephone_number": "260-436-5200",
"fax_number": "260-436-1103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7313 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468046237",
"telephone_number": "260-436-5200",
"fax_number": "260-436-1103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCKEL",
"first_name": "JAMES",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-14",
"last_updated": "2008-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08001766",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEMBC/BS",
"identifier": "000000531878",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "350049797",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200156050A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.