Individual provider Active NPI

Ryan T Waind, D.C.

  • Chiropractor
  • Grand Island, NE
National Provider Identifier
1255389441
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1234 Issued in NE
Practice address
2222 W 2ND St
Grand Island, NE 68803-5312
Phone
(308) 398-1900
Fax
(308) 398-1901
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1234 NE Primary

Addresses

Primary practice location

2222 W 2ND St
Grand Island, NE 68803-5312

Mailing address

2222 W 2ND St
Grand Island, NE 68803-5312
Phone (308) 398-1900

Other identifiers 2

IdentifierTypeStateIssuer
04368318300MedicaidNE
99593OtherNEBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111207000077 NE Practitioner - Chiropractic 9032384870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Los Angeles College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2222 W 2ND St
Grand Island, NE 68803-5320
Phone (308) 398-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1234NEMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Care Chiropractic, P.C. Chiropractor CurrentSince Oct 1, 1999 Accepting new patients

Locations

2222 W 2nd St
Grand Island, NE 68803
Phone (308) 398-1900

Organizations & group practices 1

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1255389441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W 2ND ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688035312",
            "telephone_number": "308-398-1900",
            "fax_number": "308-398-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W 2ND ST",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688035312",
            "telephone_number": "308-398-1900",
            "fax_number": "308-398-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIND",
        "first_name": "RYAN",
        "middle_name": "T",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04368318300",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "99593",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.