Kelly Brian Ryan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHI T 36 Issued in AK

Practice address

550 E Tudor Rd
Anchorage, AK 99503-7371

Phone

(907) 222-2100

Fax

(907) 222-2131

NPI assigned

Feb 9, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Chiropractic Clinic LLCGroup PAC ID 3072401892, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Community Chiropractic Clinic LLC

  • Chiropractor
  • Anchorage, AK
  • NPI 1649296617
  Medicare reassignment Care Compare group NPD
• Community Chiropractic Clinic, LLC

  • Massage Therapist
  • Anchorage, AK
  • NPI 1053795443
  NPD (past)

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1023257409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037371",
            "telephone_number": "907-222-2100",
            "fax_number": "907-222-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E TUDOR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995037371",
            "telephone_number": "907-222-2100",
            "fax_number": "907-222-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "KELLY",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "CHI T 36",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian B Ryan, M.D.
• Charles Ryan, MD
• Holley Ryan, MHS
• Jacqueline Ryan, PA-C
• Kathryn Alexander Ryan, D.O.
• Ryan, LLC
• Nicole E Ryan, BA, CDCI
• Paige Sthen Ryan, D.D.S.
• Peter Arnold Ryan, DC
• Joel R Rygh, CRNA

• Chiropractor in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Chiropractor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.