Ryan Goetz, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5169 Issued in MN

Legal business name

RYAN GOETZ, P.A.

Doing business as

Watertown Family Chiropractic

Practice address

204 Lewis Ave S
Sutie 203
Watertown, MN 55388-4500

Phone

(515) 320-3841

NPI assigned

Feb 3, 2009

Last updated

Jan 11, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Dean Goetz, D.C.NPI 1154568046

Title

President

Phone

(515) 320-3841

Specialties & licenses 1

Addresses

Other names 1

• Watertown Family Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

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, and the practitioner matching its NPPES authorized official.

• Ryan Dean Goetz, D.C.

  • Chiropractor
  • Watertown, MN
  • NPI 1154568046
  Medicare reassignment NPD Authorized official
• Burke Rafer Mays, D.C.

  • Chiropractor
  • Golden Valley, MN
  • NPI 1669485496
  NPD (past)

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

{
    "created_epoch": "1233619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641859200000",
    "number": "1316185036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 LEWIS AVE S STE 203",
            "city": "WATERTOWN",
            "state": "MN",
            "postal_code": "553884502",
            "telephone_number": "952-955-1974",
            "fax_number": "952-955-3249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 LEWIS AVE S",
            "address_2": "SUTIE 203",
            "city": "WATERTOWN",
            "state": "MN",
            "postal_code": "553884500",
            "telephone_number": "515-320-3841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN GOETZ, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-03",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A",
        "authorized_official_last_name": "GOETZ",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-320-3841",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Watertown Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Watertown Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole Marnes Mueller, OTR
• Christian Laurits Nielsen, MT-BC
• Kristin J Olson, CFNP
• Ridgeview Clinics
• Rosemary Louise Rosdahl, RPH
• Tonya Kay Schrader, MS CCC SLP
• Molli Sherman
• Rebecca L Siffring, M.D.
• Lea M Sterling, RPT
• The Landing Pad

• Chiropractor in Watertown, MN
• Providers in Watertown, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.