Ryan Leibfried, DC
Individual provider Active NPI Chiropractor · Lancaster, WI
NPI 1154432334 · NPPES record last updated Oct 8, 2021
Key facts
- NPI
- 1154432334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3939012 (WI)
- Practice address
- 1800 Industrial Park Rd
Lancaster, WI 53813-9450 - Phone
- (608) 723-7723
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Family Care Chiropractic
Practice addresses (Care Compare)
1800 Industrial Park Rd
Lancaster, WI 53813-9450
Phone (608) 723-7723
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040727001436 | WI | Practitioner - Chiropractic | 5092785121 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3939012 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Chiropractic | Chiropractor | Current |
Accepting new patients |
| Guerin Management Systems Inc | Chiropractor | Past | Accepting new patients |
Locations
1800 Industrial Park Rd
Lancaster, WI 53813
Phone (608) 723-7723
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3939012 | WI | Yes |
Addresses
Primary practice location
1800 Industrial Park Rd
Lancaster, WI 53813-9450
Mailing address
1800 Industrial Park Rd
Lancaster, WI 53813-9450
Phone (608) 723-7723
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13665 | Other | WI | DEAN HEALTH PLAN |
| 38945700 | Medicaid | WI |
Other providers in Lancaster, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.