Individual provider Active NPI

Ryan Church, DC

  • Chiropractor
  • Gahanna, OH
National Provider Identifier
1295743375
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3408 Issued in OH
Practice address
309 S Hamilton Rd
Gahanna, OH 43230-3349
Phone
(614) 475-9355
Fax
(614) 475-9355
NPI assigned
Aug 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3408 OH Primary

Addresses

Primary practice location

309 S Hamilton Rd
Gahanna, OH 43230-3349

Mailing address

309 S Hamilton Rd
Gahanna, OH 43230-3349
Phone (614) 475-9355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040220000227 OH Practitioner - Chiropractic 7214822790 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2003
Medicare assignment
May accept Medicare assignment
Group practices
Physical Therapy Specialists of Ohio, LLCGroup PAC ID 5193001774, 3 clinicians
Ability Chiropractic Blacklick LLCGroup PAC ID 4284071358, 2 clinicians

Practice addresses (Care Compare)

309 S Hamilton Rd
Gahanna, OH 43230-3349
Phone (614) 475-9355

8076 E Broad St
Reynoldsburg, OH 43068-8024
Phone (614) 655-8118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3408OHMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ability Chiropractic Blacklick LLC Chiropractor CurrentSince May 30, 2024 Accepting new patients
Physical Therapy Specialists of Ohio LLC Chiropractor CurrentSince Jan 15, 2023 Accepting new patients
Southworth Active Spine and Rehab Chiropractor CurrentSince May 30, 2024 Accepting new patients
Green Chiropractic Chiropractor PastSince Nov 18, 2003 Accepting new patients
Washington Square Chiropractic Clinic, LLC Chiropractor PastSince Jul 15, 2012 Accepting new patients

Locations

309 S Hamilton Rd
Gahanna, OH 43230
Phone (614) 475-9355

170 W Olentangy St
Ste P
Powell, OH 43065
Phone (614) 907-9355

8076 E Broad St
Reynoldsburg, OH 43068
Phone (614) 655-8118

Organizations & group practices 5

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1295743375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 S HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303349",
            "telephone_number": "614-475-9355",
            "fax_number": "614-475-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S HAMILTON RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432303349",
            "telephone_number": "614-475-9355",
            "fax_number": "614-475-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCH",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.