Individual provider Active NPI

Ryan Malarney, DC

  • Chiropractor
  • Portage, MI
National Provider Identifier
1295192748
Registry record updated Jan 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301010203 Issued in MI
Practice address
3920 W Centre Ave
Portage, MI 49024-4634
Phone
(269) 329-1200
NPI assigned
Jan 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301010203 MI Primary

Addresses

Primary practice location

3920 W Centre Ave
Portage, MI 49024-4634

Mailing address

3920 W Centre Ave
Portage, MI 49024-4634
Phone (269) 329-1200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160217002156 MI Practitioner - Chiropractic 2062717770 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RSM IncGroup PAC ID 4486977493, 2 clinicians

Practice addresses (Care Compare)

3920 W Centre Ave
Portage, MI 49024-4634
Phone (269) 329-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301010203MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
RSM Inc Chiropractor CurrentSince Dec 28, 2015 Accepting new patients

Locations

3920 W Centre Ave
Portage, MI 49024
Phone (269) 329-1200

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": "1453852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453852800000",
    "number": "1295192748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244634",
            "telephone_number": "269-329-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 W CENTRE AVE",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490244634",
            "telephone_number": "269-329-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALARNEY",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301010203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.