Individual provider Active NPI

Ryan M Simpson

  • Chiropractor
  • Wichita, KS
National Provider Identifier
1104334325
Registry record updated Jan 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-05873 Issued in KS
Practice address
8526 W 13TH St N Ste 170
Wichita, KS 67212-2990
Phone
(316) 247-5458
NPI assigned
Jan 22, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05873 KS Primary

Addresses

Primary practice location

8526 W 13TH St N Ste 170
Wichita, KS 67212-2990

Mailing address

3558 S 215TH St W
Goddard, KS 67052-8962

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180309001570 KS Practitioner - Chiropractic 0244591188 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-05873KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sunflower Imaging CurrentSince Feb 11, 2024 Accepting new patients
Back to Life Chiropractic and Acupuncture Chiropractor CurrentSince Sep 30, 2017 Accepting new patients

Locations

8526 W 13th St N
Ste 170
Wichita, KS 67212
Phone (316) 247-5458

Organizations & group practices 2

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": "1516579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516579200000",
    "number": "1104334325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3558 S 215TH ST W",
            "city": "GODDARD",
            "state": "KS",
            "postal_code": "670528962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8526 W 13TH ST N STE 170",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672122990",
            "telephone_number": "316-247-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "RYAN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2018; 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.