Ryan a. Keddy D.C, P.C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X011209 Issued in NY

Legal business name

RYAN A. KEDDY D.C, P.C

Practice address

850 State St
Carthage, NY 13619-1429

Phone

(315) 493-2225

Fax

(315) 493-2224

NPI assigned

Jul 1, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Andrew Keddy, D.C.NPI 1821044322

Title

President

Phone

(315) 493-2225

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Andrew Keddy, D.C.

  • Chiropractor
  • Carthage, NY
  • NPI 1821044322
  Medicare reassignment Care Compare group NPD Authorized official
• Donell Jean Keddy, D.C

  • Chiropractor
  • Carthage, NY
  • NPI 1023052966
  Medicare reassignment Care Compare group NPD
• Toby Kevin Davis, PH.D.

  • Clinical Neuropsychologist
  • Boonville, NY
  • NPI 1164465381
  NPD (past)

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1013946136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 STATE ST",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136191429",
            "telephone_number": "315-493-2225",
            "fax_number": "315-493-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 STATE ST",
            "city": "CARTHAGE",
            "state": "NY",
            "postal_code": "136191429",
            "telephone_number": "315-493-2225",
            "fax_number": "315-493-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN A. KEDDY D.C, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "KEDDY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-493-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of New York Inc
• Sara Lynn Robl, FNP-C
• Jane M Rounds, FNP-BC
• Brenda Roussel
• Abigail Rundle
• Mary Elizabeth Ryan, LMT
• Zeeshan Salam, DDS
• Anja Sanchez, FNP-C
• Corina Sanders
• Kylie H Schell, LMSW

• Chiropractor in Carthage, NY
• Providers in Carthage, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.