Individual provider Active NPI

Ryan Matthew Betz, D.C.

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1093945586
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6561 Issued in CO
Practice address
4347 Integrity Center PT
Colorado Springs, CO 80917-1683
Phone
(719) 573-1007
Fax
(719) 573-1006
NPI assigned
Jul 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6561 CO Primary

Addresses

Primary practice location

4347 Integrity Center PT
Colorado Springs, CO 80917-1683

Mailing address

4347 Integrity Center PT
Colorado Springs, CO 80917-1683
Phone (719) 573-1007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110527000152 CO Practitioner - Chiropractic 1658425426 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6561COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Radix Chiropractic, LLC Chiropractor CurrentSince Mar 9, 2011 Accepting new patients
Ledges Chiropractic Center PLLC Chiropractor PastSince Nov 4, 2011 Accepting new patients
Infinity Chiropractic Center P L L C Chiropractor PastSince Oct 31, 2011 Accepting new patients
Waverly Chiropractic Center P.L.L.C. Chiropractor Past Accepting new patients

Locations

4347 Integrity Center Pt
Colorado Springs, CO 80917
Phone (719) 573-1007

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1093945586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 INTEGRITY CENTER PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171683",
            "telephone_number": "719-573-1007",
            "fax_number": "719-573-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 INTEGRITY CENTER PT",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809171683",
            "telephone_number": "719-573-1007",
            "fax_number": "719-573-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETZ",
        "first_name": "RYAN",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-20",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "6561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2016; 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.