Individual provider Active NPI

Ryan M. Betzina, D.C.

  • Chiropractor
  • Lakeville, MN
National Provider Identifier
1235350109
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4946 Issued in MN
Practice address
7644 160TH St W
Lakeville, MN 55044-4442
Phone
(952) 985-5444
Fax
(952) 314-4963
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4946 MN Primary

Addresses

Primary practice location

7644 160TH St W
Lakeville, MN 55044-4442

Mailing address

7644 160TH St W
Lakeville, MN 55044-4442
Phone (952) 985-5444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070530000265 MN Practitioner - ChiropracticPractitioner - Other (Physician) 2163529041 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Betzina Clinics , LLCGroup PAC ID 1052489770, 2 clinicians

Practice addresses (Care Compare)

7644 160TH St W
Lakeville, MN 55044-4442
Phone (952) 985-5444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Acu-Chiropractic Wellness Center, PA Chiropractor PastSince Jan 1, 1995 Accepting new patients
Worthington Wellness Center Chiropractor Past Accepting new patients

Organizations & group practices 3

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1235350109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7644 160TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444442",
            "telephone_number": "952-985-5444",
            "fax_number": "952-314-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7644 160TH ST W",
            "city": "LAKEVILLE",
            "state": "MN",
            "postal_code": "550444442",
            "telephone_number": "952-985-5444",
            "fax_number": "952-314-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETZINA",
        "first_name": "RYAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4946",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeville, MN

Sources for this page

Verify at the official NPI Registry.