Active NPI
Brian Stephen Ruggiero, D.C.
- Chiropractor
- Manchester, CT
National Provider Identifier
1871691998
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1454
- Practice address
- 1047 Main St
Manchester, CT 06040-6013 - Phone
- (860) 643-2888
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CHR.0007548 | CO | |
| Chiropractor | 111N00000X | 1454 | CT | Primary |
Addresses
Primary practice location
1047 Main St
Manchester, CT 06040-6013
Mailing address
1047 Main St
Manchester, CT 06040-6013
Phone (860) 643-2888
Other practice location 1
1660 30th St
Boulder, CO 80301-1034
Phone (720) 328-6494
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
935 Main St
Manchester, CT 06040-6059
Phone (860) 643-2888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CHR.0007548 | CO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ruggiero Family Chiropractic & Rehabilitation Center, LLC | Chiropractor | Current | Accepting new patients |
| Healing Arts Chiropractic Health & Wellness Center, LLC | Chiropractor | Past | Accepting new patients |
| Levine Chiropractic Center, LLC | Chiropractor | Past | Accepting new patients |
Locations
935 Main St
Ste B104
Manchester, CT 06040
Phone (860) 643-2888
1047 Main St
Manchester, CT 06040
Phone (860) 643-2888
Organizations & group practices 3
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.
-
- Chiropractor
- Manchester, CT
- NPI 1780781989
-
- Chiropractor
- Boulder, CO
- NPI 1710414495
-
- Chiropractor
- Torrington, CT
- NPI 1750580650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1871691998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1047 MAIN ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060406013",
"telephone_number": "860-643-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1047 MAIN ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060406013",
"telephone_number": "860-643-2888"
}
],
"practiceLocations": [
{
"address_1": "1660 30th St",
"address_purpose": "LOCATION",
"city": "Boulder",
"state": "CO",
"postal_code": "803011034",
"country_code": "US",
"telephone_number": "720-328-6494",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUGGIERO",
"first_name": "BRIAN",
"middle_name": "STEPHEN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CO",
"license": "CHR.0007548",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "1454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.