Ryan Funke, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

013333 Issued in NY

Practice address

2283 Grand Island Blvd
Grand Island, NY 14072-1819

Phone

(716) 773-2222

Fax

(866) 907-6157

NPI assigned

Dec 31, 2019

Last updated

Dec 28, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1235778713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8311 N HIGH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432356459",
            "telephone_number": "614-888-9355",
            "fax_number": "614-888-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2283 GRAND ISLAND BLVD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721819",
            "telephone_number": "716-773-2222",
            "fax_number": "866-907-6157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10158 Niagara Falls Blvd",
            "address_purpose": "LOCATION",
            "city": "Niagara Falls",
            "state": "NY",
            "postal_code": "143042793",
            "country_code": "US",
            "telephone_number": "716-773-2222",
            "fax_number": "866-907-6157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4754 N French Rd",
            "address_purpose": "LOCATION",
            "city": "East Amherst",
            "state": "NY",
            "postal_code": "140512176",
            "country_code": "US",
            "telephone_number": "716-773-2222",
            "fax_number": "866-907-6157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "603 Division St",
            "address_purpose": "LOCATION",
            "city": "North Tonawanda",
            "state": "NY",
            "postal_code": "141204464",
            "country_code": "US",
            "telephone_number": "716-693-0556",
            "fax_number": "866-907-6157",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "950 Maple Rd",
            "address_purpose": "LOCATION",
            "city": "Williamsville",
            "state": "NY",
            "postal_code": "142213329",
            "country_code": "US",
            "telephone_number": "716-773-2222",
            "fax_number": "866-907-6157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FUNKE",
        "first_name": "RYAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-31",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Grand Island, NY
• Providers in Grand Island, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.