Individual provider Active NPI

Ryan Duke, D.C.

  • Chiropractor
  • Mt Pleasant, SC
National Provider Identifier
1255929816
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4617 Issued in SC
Practice address
907 Houston Northcutt Blvd
Mt Pleasant, SC 29464-3448
Phone
(843) 856-0351
Fax
(843) 856-0354
NPI assigned
Jan 8, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4617 SC Primary

Addresses

Primary practice location

907 Houston Northcutt Blvd
Mt Pleasant, SC 29464-3448

Mailing address

907 Houston Northcutt Blvd
Mt Pleasant, SC 29464-3448
Phone (843) 856-0351

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240510002506 DE Practitioner - Chiropractic 9739572736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Integrative Healthcare of Milford LLCGroup PAC ID 8022441286, 2 clinicians

Practice addresses (Care Compare)

686 N Dupont Blvd
Milford, DE 19963-1002
Phone (302) 503-7767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4617SCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Integrative Healthcare of Milford, LLC Chiropractor CurrentSince Feb 11, 2024 Accepting new patients
TM&M, LLC Chiropractor CurrentSince Dec 13, 2022 Accepting new patients
Patriots Point Chiropractic, LLC Chiropractor CurrentSince Dec 13, 2022 Accepting new patients
Tresnicky Chiropractic LLC Chiropractor PastSince Jan 1, 2021 Accepting new patients
Abundant Life Chiropractic Center Chiropractor PastSince Jan 1, 2022 Accepting new patients

Locations

401 E Main St
Ste 4B
Middletown, DE 19709
Phone (302) 376-5830

421 E Main St
Ste 6
Middletown, DE 19709
Phone (302) 376-5830

600 N DuPont Blvd
Ste 686
Milford, DE 19963
Phone (302) 376-5830

600 N DuPont Blvd
Unit 686
Milford, DE 19963
Phone (302) 376-5830

907 Houston Northcutt Blvd
Mt Pleasant, SC 29464
Phone (843) 856-0351

Organizations & group practices 5

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": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1255929816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 HOUSTON NORTHCUTT BLVD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643448",
            "telephone_number": "843-856-0351",
            "fax_number": "843-856-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 HOUSTON NORTHCUTT BLVD",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643448",
            "telephone_number": "843-856-0351",
            "fax_number": "843-856-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKE",
        "first_name": "RYAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-08",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "4617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Pleasant, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.