Organization Active NPI

Ryan L Rudd DC LLC

  • Chiropractor
  • Mesa, AZ
National Provider Identifier
1922565142
Registry record updated Feb 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RYAN L RUDD DC LLC
Practice address
2837 N Power Rd Ste 109
Mesa, AZ 85215-1735
Phone
(480) 375-0630
NPI assigned
Feb 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2019

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

Authorized official

Name
Dr. Ryan L Rudd, DC
Title
Owner
Phone
(480) 375-0630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2837 N Power Rd Ste 109
Mesa, AZ 85215-1735

Mailing address

3494 E Hampton LN
Gilbert, AZ 85295-1528
Phone (480) 375-0630

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1550966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550966400000",
    "number": "1922565142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3494 E HAMPTON LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951528",
            "telephone_number": "480-375-0630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2837 N POWER RD STE 109",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151735",
            "telephone_number": "480-375-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN L RUDD DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-24",
        "last_updated": "2019-02-24",
        "status": "A",
        "authorized_official_last_name": "RUDD",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-375-0630",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.