Individual provider Active NPI

Ryan Harold Holmes, D.C.

  • Chiropractor
  • Saint Joseph, MO
National Provider Identifier
1306966650
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2004008727 Issued in MO
Practice address
3007 N Belt Hwy Ste I
Saint Joseph, MO 64506-1557
Phone
(816) 232-8377
Fax
(816) 279-0302
NPI assigned
Mar 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 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 2004008727 MO Primary

Addresses

Primary practice location

3007 N Belt Hwy Ste I
Saint Joseph, MO 64506-1557

Mailing address

3007 N Belt Hwy Ste I
Saint Joseph, MO 64506-1557
Phone (816) 232-8377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050214000562 MO Practitioner - Chiropractic 7618929241 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3007 N Belt Hwy
Suite I
Saint Joseph, MO 64506-1557
Phone (816) 232-8377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Harold L. Holmes, D.C., P.C. Chiropractor CurrentSince Aug 31, 2007 Accepting new patients
Ryan H. Holmes, D.C., P.C. Chiropractor CurrentSince Jan 31, 2005 Accepting new patients

Locations

3007 N Belt Hwy
Ste I
Saint Joseph, MO 64506
Phone (816) 232-8377

3302 S Belt Hwy
Ste G
Saint Joseph, MO 64503
Phone (816) 232-8377

Organizations & group practices 2

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": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1306966650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 N BELT HWY STE I",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061557",
            "telephone_number": "816-232-8377",
            "fax_number": "816-279-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 N BELT HWY STE I",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061557",
            "telephone_number": "816-232-8377",
            "fax_number": "816-279-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "RYAN",
        "middle_name": "HAROLD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-30",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2004008727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.