Individual provider Active NPI

Brian Stephen Ruggiero, D.C.

  • Chiropractor
  • Manchester, CT
National Provider Identifier
1871691998
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1454 Issued in CT
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20040709000256 CT Practitioner - Chiropractic 9830177690 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
CHR.0007548COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ruggiero Family Chiropractic & Rehabilitation Center, LLC Chiropractor CurrentSince Oct 1, 2005 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.

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.

Verify at the official NPI Registry.