Organization Active NPI

Ryan V. Swenson, DC, PC

  • Chiropractor
  • Rapid City, SD
National Provider Identifier
1023409281
Registry record updated Feb 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1056 Issued in SD
Legal business name
RYAN V. SWENSON, DC, PC
Practice address
610 East Blvd
Rapid City, SD 57701-2902
Phone
(605) 342-3908
Fax
(605) 342-0250
NPI assigned
Feb 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2015

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

Authorized official

Name
Ryan SwensonNPI 1154394815
Title
President
Phone
(605) 484-7746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1056 SD Primary

Addresses

Primary practice location

610 East Blvd
Rapid City, SD 57701-2902

Mailing address

610 East Blvd
Rapid City, SD 57701-2902
Phone (605) 342-3908

Other identifiers 1

IdentifierTypeStateIssuer
7602480MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150226000824 SD Part B Supplier - Clinic/Group Practice 6406172055 Receives reassigned benefits from 1 practitioner
Practice locations: Rapid City, SD

National Provider Directory

National Provider Directory

Locations

350 12th St
Rapid City, SD 57701
Phone (605) 342-3908

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1423526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423526400000",
    "number": "1023409281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 EAST BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012902",
            "telephone_number": "605-342-3908",
            "fax_number": "605-342-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 EAST BLVD",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577012902",
            "telephone_number": "605-342-3908",
            "fax_number": "605-342-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN V. SWENSON, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-10",
        "last_updated": "2015-02-10",
        "status": "A",
        "authorized_official_last_name": "SWENSON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-484-7746"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SD",
            "license": "1056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7602480",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rapid City, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.