Keith G. Ryan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2681 Issued in OK

Practice address

3319 E 46TH St
Tulsa, OK 74135-2903

Phone

(918) 742-6262

Fax

(918) 742-7152

NPI assigned

Jul 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1992

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Keith G. Ryan Chiropractic PLLC

  • Chiropractor
  • Tulsa, OK
  • NPI 1144548983
  Medicare reassignment NPD Authorized official
• Absolute Chiropractic, Inc.

  • Chiropractor
  • Tulsa, OK
  • NPI 1578782207
  NPD (past) Authorized official

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1063411569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 E 46TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352903",
            "telephone_number": "918-742-6262",
            "fax_number": "918-742-7152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 E 46TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352903",
            "telephone_number": "918-742-6262",
            "fax_number": "918-742-7152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "KEITH",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "2681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "731533000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beatrice Erika Ryan, OTR/L
• Caleb Ryan
• Cori Lynn Ryan, CPNP-PC
• David Jack Ryan
• Jordan Marie Ryan, LMSW
• Kenan James Ryan, CRNA
• Lyndsay Ryan, PHARMD
• Molly Ryan, DPT
• Patrick Michael Ryan, MD
• Stephen Gregory Ryan, PT

• Chiropractor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.

Verify at the official NPI Registry.