Active NPI
Ryken-Med Inc
- General Practice Physician
- Chandler, AZ
National Provider Identifier
1245691393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- RYKEN-MED INC
- Practice address
- 290 S Alma School Rd
Suite 5-7
Chandler, AZ 85224-7632 - Phone
- (480) 857-1991
- Fax
- (480) 857-2036
- NPI assigned
- Mar 17, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracy Henderson
- Title
- Credentialing Manager
- Phone
- (513) 685-0949
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary | ||
| Physical Therapist | 225100000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
290 S Alma School Rd
Suite 5-7
Chandler, AZ 85224-7632
Mailing address
290 S Alma School Rd
Suite 5-7
Chandler, AZ 85224-7632
Phone (480) 857-1991
National Provider Directory
National Provider DirectoryLocations
290 S Alma School Rd
Ste 57
Chandler, AZ 85224
Phone (480) 857-1991
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1458172800000",
"number": "1245691393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "290 S ALMA SCHOOL RD",
"address_2": "SUITE 5-7",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852247632",
"telephone_number": "480-857-1991",
"fax_number": "480-857-2036"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 S ALMA SCHOOL RD",
"address_2": "SUITE 5-7",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852247632",
"telephone_number": "480-857-1991",
"fax_number": "480-857-2036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RYKEN-MED INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-17",
"last_updated": "2016-03-17",
"status": "A",
"authorized_official_last_name": "HENDERSON",
"authorized_official_first_name": "TRACY",
"authorized_official_title_or_position": "CREDENTIALING MANAGER",
"authorized_official_telephone_number": "513-685-0949"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.