RUDDELL CHIROPRACTIC CLINIC
NPI 1225235906
Chiropractor in Lewiston, ID
About Ruddell Chiropractic Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUDDELL CHIROPRACTIC CLINIC (NPI 1225235906) is a healthcare organization registered as a chiropractor in Lewiston, Idaho and active in the NPI registry since June 2007. The organization lists Brian T Ruddell, Chiropractor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ruddell Chiropractic Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Ruddell Chiropractic Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ruddell Chiropractic Clinic's NPI number?
The NPI number for Ruddell Chiropractic Clinic is 1225235906. It was assigned to this organization in the NPPES registry on June 27, 2007.
Where is Ruddell Chiropractic Clinic located?
Ruddell Chiropractic Clinic is located at 1117 16th Ave, Lewiston, ID 83501. The listed phone number is (208) 743-8401.
What is Ruddell Chiropractic Clinic's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Ruddell Chiropractic Clinic enrolled in Medicare?
Yes. Ruddell Chiropractic Clinic is registered in the Medicare PECOS enrollment system.
When is Ruddell Chiropractic Clinic's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Idaho, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Ruddell Chiropractic Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Chiropractic, reassign their Medicare billing to Ruddell Chiropractic Clinic. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ruddell Chiropractic Clinic accept?
Health plans from Molina Healthcare list Ruddell Chiropractic Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ruddell Chiropractic Clinic was last updated on March 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ruddell Chiropractic Clinic · NPI 1225235906
Chiropractor organization in Lewiston, Idaho. Organization record, active in the CMS NPPES registry since June 27, 2007.
## Identity
- **NPI:** 1225235906 (Entity type: Organization)
- **Enumerated:** June 27, 2007
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Organization subpart:** No
- **Authorized official:** Brian Ruddell, CHIROPRACTOR
## Practice location
- **Address:** 1117 16TH AVE, Lewiston, ID 83501-3739
- **Phone:** (208) 743-8401 · **Fax:** (208) 743-8722
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Idaho, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Chiropractic) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 20, 2017
- **Other identifiers:** Medicaid 805054900 (ID)
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Source: [NPI Profile](https://npiprofile.com/npi/1225235906) · Data from the CMS NPPES public registry.