Individual provider Active NPI

Ryan Michael Chappell, DC

  • Chiropractor
  • Columbia, MO
National Provider Identifier
1285457713
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2024042530 Issued in MO
Practice address
1413 Grindstone Plaza Dr Ste 109
Columbia, MO 65201-3794
Phone
(573) 476-1000
NPI assigned
Nov 4, 2024
Last updated
Nov 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2024042530 MO Primary

Addresses

Primary practice location

1413 Grindstone Plaza Dr Ste 109
Columbia, MO 65201-3794

Mailing address

600 Medford Dr
Columbia, MO 65203-6445
Phone (573) 268-0543

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260616000485 MO Practitioner - Chiropractic 6507338142 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1413 Grindstone Plaza Dr
Suite 109
Columbia, MO 65201-3793

PO Box
Suite 58
Saint Clair, MI 48079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2024042530MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Restoration Chiropractic LLC Chiropractor CurrentSince Nov 10, 2024 Accepting new patients

Locations

1413 Grindstone Plaza Dr
Ste 109
Columbia, MO 65201
Phone (573) 247-6798

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1285457713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MEDFORD DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652036445",
            "telephone_number": "573-268-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 GRINDSTONE PLAZA DR STE 109",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013794",
            "telephone_number": "573-476-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPPELL",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2024042530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.