Individual provider Active NPI

Ryan Scott Fordt, D.C

  • Chiropractor
  • Anchorage, AK
National Provider Identifier
1124494265
Registry record updated Jul 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
134387 Issued in AK
Practice address
2665 E Tudor Rd Ste 201
Anchorage, AK 99507
Phone
(907) 222-5100
Fax
(907) 222-5412
NPI assigned
Aug 12, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010354 MI
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 134387 AK Primary

Addresses

Primary practice location

2665 E Tudor Rd Ste 201
Anchorage, AK 99507

Mailing address

2665 E Tudor Rd Ste 201
Anchorage, AK 99507-1144
Phone (907) 222-5100

Other identifiers 1

IdentifierTypeStateIssuer
G45051002MedicaidAK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180810002473 AK Practitioner - Chiropractic 5991012494 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Parliament Chiropractic LLCGroup PAC ID 2961624242, 3 clinicians

Practice addresses (Care Compare)

2665 E Tudor Rd
Suite 201
Anchorage, AK 99507-1144
Phone (907) 222-5100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Parliament Chiropractic LLC Chiropractor CurrentSince Jun 10, 2018 Accepting new patients
Align Chiropractic LLC Chiropractor PastSince Apr 3, 2016 Accepting new patients

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": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1124494265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 E TUDOR RD STE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995071144",
            "telephone_number": "907-222-5100",
            "fax_number": "907-222-5412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2665 E TUDOR RD STE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "99507",
            "telephone_number": "907-222-5100",
            "fax_number": "907-222-5412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORDT",
        "first_name": "RYAN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-12",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010354",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AK",
            "license": "134387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G45051002",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.