Active NPI
Allen Michael Ruppert, D.C.
- Chiropractor
- Fort Pierce, FL
National Provider Identifier
1891087961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH10302
- Practice address
- 4842 N Kings Hwy
Fort Pierce, FL 34951-2243 - Phone
- (772) 405-7877
- Fax
- (772) 293-9163
- NPI assigned
- May 9, 2011
- 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 | CH10302 | FL | Primary |
Addresses
Primary practice location
4842 N Kings Hwy
Fort Pierce, FL 34951-2243
Mailing address
1924 Wren Ave
Fort Pierce, FL 34982
Phone (772) 405-7877
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308873600000",
"number": "1891087961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1924 WREN AVE",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "34982",
"telephone_number": "772-405-7877",
"fax_number": "772-293-9163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4842 N KINGS HWY",
"city": "FORT PIERCE",
"state": "FL",
"postal_code": "349512243",
"telephone_number": "772-405-7877",
"fax_number": "772-293-9163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUPPERT",
"first_name": "ALLEN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-09",
"last_updated": "2011-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH10302",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Pierce, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.