Individual provider Active NPI

Alice Ann Ryan, DC

  • Chiropractor
  • Ladson, SC
National Provider Identifier
1093763476
Registry record updated Apr 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3111SC Issued in SC
Practice address
3525 Iron Horse Rd Ste 105
Ladson, SC 29456-4331
Phone
(843) 875-1626
Fax
(843) 913-8376
NPI assigned
May 5, 2006
Last updated
Apr 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3111 SC
Chiropractor 111N00000X 3111SC SC Primary

Addresses

Primary practice location

3525 Iron Horse Rd Ste 105
Ladson, SC 29456-4331

Mailing address

3525 Iron Horse Rd Ste 105
Ladson, SC 29456-4331
Phone (843) 875-1626

Other identifiers 1

IdentifierTypeStateIssuer
CH3111MedicaidSC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060616000245 SC Practitioner - Chiropractic 7113939901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2750 Dantzler Dr
Suite 101
North Charleston, SC 29406-9006

437 N Main St
Suite B
Summerville, SC 29483-6441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3111SCSCMDChiropractor
3111SCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Amr Enterprises LLC CurrentSince May 1, 2008 Accepting new patients
Amr Enterprises, LLC Chiropractor CurrentSince May 1, 2008 Accepting new patients
Willturn PC Chiropractor PastSince Jun 9, 2000 Accepting new patients

Locations

3525 Iron Horse Rd
Ste 105
Ladson, SC 29456
Phone (843) 553-9700

2007 Trolley Rd
Ste E
Summerville, SC 29485

437 N Main St
Ste B
Summerville, SC 29483
Phone (843) 871-7775

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680739200000",
    "number": "1093763476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 IRON HORSE RD STE 105",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564331",
            "telephone_number": "843-875-1626",
            "fax_number": "843-913-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 IRON HORSE RD STE 105",
            "city": "LADSON",
            "state": "SC",
            "postal_code": "294564331",
            "telephone_number": "843-875-1626",
            "fax_number": "843-913-8376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "ALICE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3111",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3111SC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH3111",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ladson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; 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.