Active NPI
Ryan Ball, DC
- Chiropractor
- Portage, MI
National Provider Identifier
1023405016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301010319
- Practice address
- 5228 Lovers LN Ste 110
Portage, MI 49002-1521 - Phone
- (269) 312-8648
- Fax
- (269) 585-6293
- NPI assigned
- Apr 17, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2301010319 | MI | Primary |
Addresses
Primary practice location
5228 Lovers LN Ste 110
Portage, MI 49002-1521
Mailing address
5228 Lovers LN Ste 110
Portage, MI 49002-1521
Phone (269) 312-8648
Other practice location 1
4150 E Beltline Ave NE Ste 3
Grand Rapids, MI 49525-9316
Phone (616) 447-9888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537920000000",
"number": "1023405016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5228 LOVERS LN STE 110",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490021521",
"telephone_number": "269-312-8648",
"fax_number": "269-585-6293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5228 LOVERS LN STE 110",
"city": "PORTAGE",
"state": "MI",
"postal_code": "490021521",
"telephone_number": "269-312-8648",
"fax_number": "269-585-6293"
}
],
"practiceLocations": [
{
"address_1": "4150 E Beltline Ave NE Ste 3",
"address_purpose": "LOCATION",
"city": "Grand Rapids",
"state": "MI",
"postal_code": "495259316",
"country_code": "US",
"telephone_number": "616-447-9888",
"fax_number": "616-447-9886",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BALL",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-17",
"last_updated": "2018-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301010319",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.