Ryan Marshall PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3720 Issued in OK

Legal business name

RYAN MARSHALL PLLC

Practice address

6703 East 81St Street
Ste E
Tulsa, OK 74133-4157

Phone

(918) 494-0929

Fax

(918) 494-0927

NPI assigned

Dec 8, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Dane Marshall, DCNPI 1477560167

Title

Owner Manager

Phone

(918) 494-0929

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Marshall Chiropractic & Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Dane Marshall, DC

  • Chiropractor
  • Tulsa, OK
  • NPI 1477560167
  Medicare reassignment NPD Authorized official
• Keiyonna Fayelin Bruner

  • Family Nurse Practitioner
  • Tulsa, OK
  • NPI 1447021290
  NPD

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1285793679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6703 EAST 81ST STREET",
            "address_2": "STE E",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334157",
            "telephone_number": "918-494-0929",
            "fax_number": "918-494-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6703 EAST 81ST STREET",
            "address_2": "STE E",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741334157",
            "telephone_number": "918-494-0929",
            "fax_number": "918-494-0927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN MARSHALL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "DANE",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "918-494-0929",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200069340A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marshall Chiropractic & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Timothy Rutledge
• Stella Ruttman
• Kimberly Ruyle
• RX Concepts LLC
• RX Holdings LLC
• Ryan P Conley PLLC
• Ryan V. Nowlin DDS, Ms, PC
• Bailey Christine Ryan, MHR
• Beatrice Erika Ryan, OTR/L
• Caleb Ryan

• Chiropractor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.