Individual provider Active NPI

Ryan Ball, DC

  • Chiropractor
  • Portage, MI
National Provider Identifier
1023405016
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010319 Issued in MI
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

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.