Organization Active NPI

Ryken-Med Inc

  • General Practice Physician
  • Chandler, AZ
National Provider Identifier
1245691393
Registry record updated Mar 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
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

Updated by the provider on Mar 17, 2016

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.