Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Ty Sanders Ruddell, DC

Individual provider Chiropractor · NPI 1982767349

Mr. Ty Sanders Ruddell, DC is a Chiropractic in Mesa, Arizona. Qualified in 1999, 27 years ago. Accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
27
Licensed in
AZ
In the registry since
2006
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

4864 E Baseline Rd Ste #105
Mesa, AZ 85206-4629
Phone: (480) 558-1900
Fax: (480) 633-6086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 6023 (AZ)
Sports Physician Chiropractor Taxonomy 111NS0005X · Licence 3661 (AZ)

Record details

NPI number1982767349
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedDecember 18, 2006
Last updated in NPPESApril 27, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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