Thea Marie Ruden, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

06577 Issued in IA

Practice address

80 23Rd Ave N
Forrest Chiropractic Offices
Clinton, IA 52732-1417

Phone

(563) 242-8026

Fax

(563) 242-0016

NPI assigned

Jan 19, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ruden- Forrest Chiropractic PCGroup PAC ID 0244547248, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Ruden-Forrest Chiropractic PC

  • Chiropractor
  • Clinton, IA
  • NPI 1063889590
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1982684403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 CRAGMOR DR",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527321339",
            "telephone_number": "563-243-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 23RD AVE N",
            "address_2": "FORREST CHIROPRACTIC OFFICES",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527321417",
            "telephone_number": "563-242-8026",
            "fax_number": "563-242-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDEN",
        "first_name": "THEA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE GROUP #",
            "identifier": "12819",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0443820",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA LICENSE #",
            "identifier": "06577",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID #",
            "identifier": "45-3076673",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "36758",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00137451",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "CJ5186",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kylee Jean Ross
• Amanda Roy
• Carissa Kimberly Ruchotzke
• Taylor Ruchotzke, ARNP
• Ruden-Forrest Chiropractic PC
• Kelsey Ann Rumfelt, COTA/L
• Gloria Rumph, LISW
• Cynthia H Ryan, RPH
• Wojciech Andrzej Ryba
• Kelly Jean Saul, MA

• Chiropractor in Clinton, IA
• Providers in Clinton, IA by specialty
• Chiropractor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.