Individual provider Active NPI

Ryan Patrick Schwiesow, DC

  • Chiropractor
  • Hawarden, IA
National Provider Identifier
1154391423
Registry record updated Jun 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
06247 Issued in IA
Practice address
827 Central Ave
Hawarden, IA 51023
Phone
(712) 551-4242
Fax
(712) 551-4243
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 06247 IA Primary

Addresses

Primary practice location

827 Central Ave
Hawarden, IA 51023

Mailing address

827 Central Ave
Hawarden, IA 51023
Phone (712) 551-4242

Other identifiers 3

IdentifierTypeStateIssuer
02757OtherIABCBS
0197889MedicaidIA
7601240OtherSDSD MEDICAID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041115001313 IA Practitioner - Chiropractic 3476517921 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

827 Central Ave
Hawarden, IA 51023-2231
Phone (712) 551-4242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
06247IAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Back to Health Chiropractic Care PC Chiropractor CurrentSince May 1, 2007 Accepting new patients

Locations

827 Central Ave
Hawarden, IA 51023
Phone (712) 551-4242

318 Main St
Ireton, IA 51027
Phone (712) 278-1011

Organizations & group practices 1

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1154391423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 CENTRAL AVE",
            "city": "HAWARDEN",
            "state": "IA",
            "postal_code": "51023",
            "telephone_number": "712-551-4242",
            "fax_number": "712-551-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 CENTRAL AVE",
            "city": "HAWARDEN",
            "state": "IA",
            "postal_code": "51023",
            "telephone_number": "712-551-4242",
            "fax_number": "712-551-4243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHWIESOW",
        "first_name": "RYAN",
        "middle_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "06247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02757",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197889",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SD MEDICAID",
            "identifier": "7601240",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawarden, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.