Active NPI
Ryan D Thornton, D.C.
- Chiropractor
- Byron Center, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2301008970
- Practice address
- 8194 Byron Center Ave SW
Byron Center, MI 49315-9401 - Phone
- (616) 583-7810
- Fax
- (616) 583-0150
- NPI assigned
- Dec 12, 2006
- Last updated
- Jul 8, 2007
- 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 | 2301008970 | MI | Primary |
Addresses
Primary practice location
8194 Byron Center Ave SW
Byron Center, MI 49315-9401
Mailing address
8194 Byron Center Ave SW
Byron Center, MI 49315-9401
Phone (616) 583-7810
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 950D114170 | Other | MI | BLUE CROSS BLUE SHIELD |
| 202066577 | Other | MA | TAX IDENTIFICATION # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Center for Physical Rehabilitation Inc
Practice addresses (Care Compare)
5060 Cascade Rd
Suite a
Grand Rapids, MI 49546-3808
5060 Cascade Rd SE
Suite a
Grand Rapids, MI 49546-3808
8194 Byron Ctr Ave SW
Byron Center, MI 49315-7919
Phone (616) 583-7810
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2301008970 | MI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Byron Center Chiropractic | Chiropractor | Current | Accepting new patients |
Locations
8194 Byron Center Ave SW
Byron Center, MI 49315
Phone (616) 583-7810
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Byron Center, MI
- NPI 1760650220
-
- Physical Therapy Clinic/Center
- Grand Rapids, MI
- NPI 1902288863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053471573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8194 BYRON CENTER AVE SW",
"city": "BYRON CENTER",
"state": "MI",
"postal_code": "493159401",
"telephone_number": "616-583-7810",
"fax_number": "616-583-0150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8194 BYRON CENTER AVE SW",
"city": "BYRON CENTER",
"state": "MI",
"postal_code": "493159401",
"telephone_number": "616-583-7810",
"fax_number": "616-583-0150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THORNTON",
"first_name": "RYAN",
"middle_name": "D",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MI",
"license": "2301008970",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "950D114170",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION #",
"identifier": "202066577",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Byron Center, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.