Ryan Baxter Macedo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60109615 Issued in WA

Practice address

2100 SE 164TH Ave
Suite C102
Vancouver, WA 98683-8934

Phone

(360) 258-0264

Fax

(360) 254-0930

NPI assigned

Oct 12, 2009

Last updated

Jan 20, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dewilde Chiropractic IncGroup PAC ID 6901898832, 3 clinicians

Chiropractic Lifestyle CenterGroup PAC ID 4688748171, 2 clinicians

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dewilde Chiropractic Inc

  dba Liberty Bay Chiropractic

  • Chiropractor
  • Poulsbo, WA
  • NPI 1922290279
  Medicare reassignment Care Compare group NPD Authorized official
• Shelton Chiropractic and Wellness LLC

  • Chiropractor
  • Shelton, WA
  • NPI 1497438857
  Medicare reassignment NPD Authorized official
• Chiropractic Lifestyle Center

  • Chiropractor
  • Bremerton, WA
  • NPI 1932369667
  Medicare reassignment Care Compare group
• Vitality Chiropractic and Wellness Inc

  • Chiropractor
  • Vancouver, WA
  • NPI 1578953527
  NPD (past) Authorized official
• Core Life, PLLC

  dba Core Chiropractic-Hazel Dell

  • Chiropractor
  • Vancouver, WA
  • NPI 1508093626
  NPD (past)
• Damon J Ernst

  • Chiropractor
  • Shelton, WA
  • NPI 1841341120
  NPD (past)

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

{
    "created_epoch": "1255305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1083949887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 SE 164TH AVE",
            "address_2": "SUITE C-102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "98683",
            "telephone_number": "360-258-0264",
            "fax_number": "360-254-0930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE 164TH AVE",
            "address_2": "SUITE C102",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986838934",
            "telephone_number": "360-258-0264",
            "fax_number": "360-254-0930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACEDO",
        "first_name": "RYAN",
        "middle_name": "BAXTER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-12",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60109615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mac Jackson III DMD PLLC
• Christine Renee Macbean, PHARMD
• Isabelle Alexandra Macdonald
• Pippa Macdonald, M.D.
• Janet Robinson Macdonell, M.D.
• Sydnee Machado
• E'Lon Mack
• Melissa Kathryn Mack, CNM
• Alice Mackay
• Kristin Mackenzie, DC

• Chiropractor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.