Individual provider Active NPI

Ryan Cleous, DC

  • Chiropractor
  • Poplar Bluff, MO
National Provider Identifier
1255947776
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2020028865 Issued in MO
Practice address
400 S 11TH St
Poplar Bluff, MO 63901-5508
Phone
(573) 785-5666
NPI assigned
Sep 21, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2020028865 MO Primary

Addresses

Primary practice location

400 S 11TH St
Poplar Bluff, MO 63901-5508

Mailing address

400 S 11TH St
Poplar Bluff, MO 63901-5508
Phone (573) 785-5666

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220715001721 MO Practitioner - Chiropractic 2961883335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleous Chiropractic LLCGroup PAC ID 4183068646, 2 clinicians

Practice addresses (Care Compare)

400 S 11TH St
Poplar Bluff, MO 63901-5508
Phone (573) 785-5666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cleous Chiropractic LLC Chiropractor CurrentSince Jan 15, 2024 Accepting new patients
Rushin Chiropractic PC Chiropractor PastSince Feb 25, 2024 Accepting new patients

Locations

400 S 11th St
Poplar Bluff, MO 63901
Phone (573) 785-5566

Organizations & group practices 2

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": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1255947776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S 11TH ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639015508",
            "telephone_number": "573-785-5666",
            "fax_number": "573-785-4594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S 11TH ST",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639015508",
            "telephone_number": "573-785-5666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEOUS",
        "first_name": "RYAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-21",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2020028865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poplar Bluff, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; 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.