MR. TY SANDERS RUDDELL DC
NPI 1982767349
Chiropractor in Mesa, AZ

Q: What is Ty Ruddell's NPI number?

The NPI number for Ty Ruddell is 1982767349. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Q: What is Ty Ruddell's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Ty Ruddell was last updated on April 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since December 18, 2006Accepts Medicare Assignment

4864 E BASELINE RD, SUITE #105, MESA, AZ 85206(480) 558-1900(480) 633-6086 Get Directions Write a Review

NPPES record last updated: April 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Ty Sanders Ruddell Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. TY SANDERS RUDDELL DC (NPI 1982767349) is an individual chiropractor in Mesa, Arizona, licensed in Arizona (6023) and active in the NPI registry since December 2006. He is a graduate of Other (1999).

NPPES Registry Identity

NPI1982767349

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameMR. TY SANDERS RUDDELLCredential: DC

Location Address4864 E BASELINE RD, SUITE #105Mesa, AZ 85206-4629

Mailing Address4864 E Baseline Rd, Suite #105Mesa, AZ 85206-4629 · (480) 558-1900 · Fax (480) 633-6086

Phone(480) 558-1900

Fax(480) 633-6086

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateDecember 18, 2006

Last NPPES UpdateApril 27, 2009

✔ NPI 1982767349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in AZ · 6023

Definition

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.

Also ListedChiropractor · Sports PhysicianTaxonomy 111NS0005X · License 3661 (AZ)

4864 E BASELINE RD, Mesa, AZ 85206

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Medica, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Ty Sanders Ruddell Dc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9032137062

PECOS Enrollment IDI20051108000362

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941

Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.

933 services76 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BAREFOOT KINESIOPRACTIC PLLC

Chiropractor

4864 E BASELINE RD, SUITE 105
MESA, AZ 85206

Maricopa County (480) 558-1900

RUDDELL CHIROPRACTIC CENTER INC.

Chiropractor

4864 E BASELINE RD, STE 105
MESA, AZ 85206

Maricopa County (480) 558-1900

BILLIE R BAREFOOT D.C.

Chiropractor

4864 E BASELINE RD, SUITE 105
MESA, AZ 85206

Maricopa County (480) 558-1900

KEIRA KIELMEYER LAC

Counselor (Mental Health)

4864 E BASELINE RD
MESA, AZ 85206

Maricopa County (480) 992-8557

MRS. TELLY E RIVENBURGH LCSW

Social Worker (Clinical)

4864 E BASELINE RD
MESA, AZ 85206

Maricopa County (480) 200-7371

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 Ty Ruddell's NPI number?

The NPI number for Ty Ruddell is 1982767349. It was assigned to this individual provider in the NPPES registry on December 18, 2006.

Where is Ty Ruddell located?

Ty Ruddell practices at 4864 E Baseline Rd Suite #105, Mesa, AZ 85206. The listed phone number is (480) 558-1900.

What is Ty Ruddell's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Ty Ruddell enrolled in Medicare?

Yes. Ty Ruddell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ty Ruddell accept?

Health plans from Ambetter from Arizona Complete Health, Medica and Providence Health Plan list Ty Ruddell 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 Ty Ruddell was last updated on April 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.