Organization Active NPI

Ryan Chiropractic Clinic PLLC

  • Clinic/Center
  • Kalispell, MT
National Provider Identifier
1053516807
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RYAN CHIROPRACTIC CLINIC PLLC
Practice address
690 N Meridian Rd
Ste 108
Kalispell, MT 59901-3586
Phone
(406) 755-6030
NPI assigned
Jun 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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

Authorized official

Name
Dr. Timothy Parker Ryan, DCNPI 1790713980
Title
Owner Member
Phone
(406) 755-6030

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

690 N Meridian Rd
Ste 108
Kalispell, MT 59901-3586

Mailing address

690 N Meridian Rd
Ste 108
Kalispell, MT 59901-3586
Phone (406) 755-6030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040325000823 MT Part B Supplier - Clinic/Group Practice 1355233404 Receives reassigned benefits from 1 practitioner
Practice locations: Kalispell, MT

National Provider Directory

National Provider Directory

Locations

690 N Meridian Rd
Ste 214
Kalispell, MT 59901
Phone (406) 752-7289

690 N Meridian Rd
Ste 108
Kalispell, MT 59901
Phone (406) 755-6030

Practitioners & affiliated clinicians

Practitioners 1

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": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1053516807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 N MERIDIAN RD",
            "address_2": "STE 108",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013586",
            "telephone_number": "406-755-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 N MERIDIAN RD",
            "address_2": "STE 108",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013586",
            "telephone_number": "406-755-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN CHIROPRACTIC CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "RYAN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "PARKER",
        "authorized_official_title_or_position": "OWNER MEMBER",
        "authorized_official_telephone_number": "406-755-6030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.