DR. RYAN LEE RUDD (NPI# 1174813307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174813307 |
| Entity Type | Individual |
| Full Name | DR. RYAN LEE RUDD |
| Credential | D.C. |
| Practice Address |
4530 E Ray Rd Ste 110 Phoenix AZ 85044-6094 |
| Mailing Address |
4530 E Ray Rd Suite 110 Phoenix AZ 85044-6094 |
| Practice Telephone | 4807591668 |
| Practice Fax Number | 4807591669 |
| Mailing Telephone | 4807591668 |
| Mailing Fax Number | 4807591669 |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2014-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 8193 | AZ | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548424500 | Ryan Michael Rudd | Dentist | 611 E 8th St, Port Angeles, WA 98362-6223 | 2008-07-17 |
| Street Address |
4530 E RAY RD STE 110 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85044-6094 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023018595 | Jill E. Kerr | Family Medicine | 4530 E Ray Rd, Suite 190, Phoenix, AZ 85044-6094 | 2005-07-27 |
| 1629524582 | Irene Phillips | Technician, Other | 4530 E Ray Rd, Suite 125, Phoenix, AZ 85044-6094 | 2016-08-31 |
| 1073961140 | Ryan Niedzielko | Physical Therapist | 4530 E Ray Rd, Suite 110, Phoenix, AZ 85044-6094 | 2016-05-31 |
| 1750737078 | Arizona Dme, LLC | Durable Medical Equipment & Medical Supplies | 4530 E Ray Rd, Suite 110, Phoenix, AZ 85044-6094 | 2016-05-05 |
| 1871981787 | Guaranteed Dental Solutions | Dentist | 4530 E Ray Rd, Suite 170, Phoenix, AZ 85044-6094 | 2014-12-30 |
| 1912300070 | Casey Lynne Michalski | Physician Assistant | 4530 E Ray Rd, Ste 150, Phoenix, AZ 85044-6094 | 2014-10-03 |
| 1992119986 | Az Health Centers, Pllc | Physical Medicine & Rehabilitation | 4530 E Ray Rd, Ste 110, Phoenix, AZ 85044-6094 | 2014-06-17 |
| 1538588132 | Eric C Breure | Chiropractor | 4530 E Ray Rd, Ste 110, Phoenix, AZ 85044-6095 | 2014-04-10 |
| 1760758981 | Virginia I Greene | Nurse Practitioner | 4530 E Ray Rd, Phoenix, AZ 85044-6094 | 2012-04-02 |
| 1346538261 | Lindsay V Whipple | Physical Therapist | 4530 E Ray Rd, Suite 110, Phoenix, AZ 85044-6094 | 2011-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023637345 | Jamie Roshun Dawson | Contractor | 13229 S 48th St Apt 3051, Phoenix, AZ 85044 | 2020-04-16 |
| 1548807514 | The Horizon Chiropractic Center | Clinic/Center | 4425 East Agave Road Suite 104, Phoenix, AZ 85044 | 2019-12-09 |
| 1134777634 | Elite Therapy of Az | Occupational Therapist | 15245 S 48th Street, Phoenix, AZ 85044 | 2019-08-28 |
| 1487217584 | Vitae Felix | Psychologist | 5010 E Warner Rd Ste 213, Phoenix, AZ 85044 | 2019-04-16 |
| 1578082392 | Karena Janiece Herron | Nurse Practitioner | 13625 S 48th St Apt 2100, Phoenix, AZ 85044 | 2017-09-13 |
| 1053847319 | Amanda Girardi | Dentist | 4726 E Verbena Dr, Phoenix, AZ 85044 | 2017-05-05 |
| 1518402593 | Janet Swift | Counselor | 10201 South 51st Street; Suite 130, Phoenix, AZ 85044 | 2016-12-29 |
| 1588074876 | Suzanne Morris | Nurse Practitioner | 4802 E. Ray Rd., Ste 23-364, Phoenix, AZ 85044 | 2014-05-07 |
| 1891117974 | Dr. Cameron Khavari Pllc | Chiropractor | 4001 E Mountain Sky Ave Ste 101, Phoenix, AZ 85044 | 2014-01-09 |
| 1316213416 | Shyam Sundar Tangri | Internal Medicine | 13623 S. 45th St, Phoenix, AZ 85044 | 2012-03-22 |
| Find all providers in zip 85044 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023628476 | The Wellness Way North Phoenix LLC | Chiropractor | 34406 N 27th Dr Ste 139, Phoenix, AZ 85085-7733 | 2020-07-31 |
| 1114535366 | Brian Anthony Romero | Chiropractor | 230 S 3rd St Ste B3, Phoenix, AZ 85004-2697 | 2020-07-14 |
| 1760034573 | Teresa Stevens | Chiropractor | 42806 N 20 St, Phoenix, AZ 85087 | 2019-07-11 |
| 1609439645 | Danielle Stetzel | Chiropractor | 1130 E Missouri Ave Ste 402, Phoenix, AZ 85014-2724 | 2019-04-16 |
| 1447723598 | 28th Street Medical Group, LLC | Chiropractor | 2836 E Indian School Rd Ste A8, Phoenix, AZ 85016-6864 | 2019-01-10 |
| 1740753094 | Scott Mackenzie | Chiropractor | 4040 E Camelback Rd Ste 155, Phoenix, AZ 85018-8349 | 2019-01-09 |
| 1417437989 | Lone Star Health, LLC | Chiropractor | 10 E Ruth Ave, Phoenix, AZ 85020-3131 | 2018-08-15 |
| 1477032357 | Joann Moskop | Chiropractor | 2719 N Greenfield Rd., Phoenix, AZ 85006 | 2018-08-10 |
| 1932687969 | Trish Triemert | Chiropractor | 3415 W Glendale Ave Ste 3a, Phoenix, AZ 85051-8484 | 2018-08-01 |
| 1639667009 | Samuel William Rodriguez | Chiropractor | 1130 E Missouri Ave Ste 180, Phoenix, AZ 85014-2736 | 2018-05-01 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.