Ryan Wicht, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

6134 Issued in MN

Practice address

9664 63Rd Ave N
Maple Grove, MN 55369-6200

Phone

(763) 504-0395

Fax

(612) 295-0022

NPI assigned

Nov 13, 2015

Last updated

Dec 10, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Health Clinics PAGroup PAC ID 8022045178, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Comprehensive Health Clinics, P.a.

  dba Cambridge Chiropractic

  • Chiropractor
  • Cambridge, MN
  • NPI 1083785679
  Medicare reassignment Care Compare group NPD
• Back in Motion Chiropractic

  • Chiropractor
  • Maple Grove, MN
  • NPI 1225182892
  Medicare reassignment NPD
• Volker Sports & Physical Medicine PLLC

  • Physical Medicine & Rehabilitation Physician
  • Cambridge, MN
  • NPI 1942161054
  NPD (past)

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

{
    "created_epoch": "1447372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1114391141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9664 63RD AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9664 63RD AVE N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553696200",
            "telephone_number": "763-504-0395",
            "fax_number": "612-295-0022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 11th Ave NW",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "MN",
            "postal_code": "559011805",
            "country_code": "US",
            "telephone_number": "507-285-1677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WICHT",
        "first_name": "RYAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-11-13",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "6134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Westerfeld
• Kayla Westling, PA-C
• Lana R White-King, M.D.
• Lisa R White, MA OTR/L
• Daniel Lee Whited, O.D.
• Brittany Wiczek, MA, LMFT
• Lisa Widder
• James Wiencke, MA, LPCC
• Jill Katherine Wieser, MD
• Sarah Elisabeth Wiger, PA

• Chiropractor in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.