Individual provider Active NPI

Ryon Bosscher, D.C.

  • Chiropractor
  • Grand Rapids, MI
National Provider Identifier
1295158798
Registry record updated Feb 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010183 Issued in MI
Practice address
5060 Cascade Rd SE
Suite E
Grand Rapids, MI 49546-3808
Phone
(616) 940-4647
Fax
(616) 942-2497
NPI assigned
Feb 4, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010183 MI Primary

Addresses

Primary practice location

5060 Cascade Rd SE
Suite E
Grand Rapids, MI 49546-3808

Mailing address

5131 E Paris Ave SE
Grand Rapids, MI 49512-5468
Phone (616) 940-4647

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140324001243 MI Practitioner - Chiropractic 8921239575 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2851 Michigan St NE
Suite 101
Grand Rapids, MI 49506-1215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adrian J Denboer Chiropractor CurrentSince Jun 16, 2022 Accepting new patients
Chiropractic Unlimited, PLLC Chiropractor CurrentSince Feb 8, 2014 Accepting new patients

Locations

5060 Cascade Rd SE
Ste E
Grand Rapids, MI 49546
Phone (616) 940-4647

2851 Michigan St NE
Ste 101
Grand Rapids, MI 49506
Phone (616) 575-9044

5131 East Paris Ave SE
Kentwood, MI 49512
Phone (616) 554-1299

Organizations & group practices 3

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": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1295158798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5131 E PARIS AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495125468",
            "telephone_number": "616-940-4647",
            "fax_number": "616-942-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 CASCADE RD SE",
            "address_2": "SUITE E",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495463808",
            "telephone_number": "616-940-4647",
            "fax_number": "616-942-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSCHER",
        "first_name": "RYON",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2014; 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.