Active NPI
Ryan W. Nolte, D.C.
- Chiropractor
- Saint Paul, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6012
- Practice address
- 1150 Montreal Ave Ste 101
Saint Paul, MN 55116 - Phone
- (651) 293-1497
- Fax
- (763) 717-2988
- NPI assigned
- Jan 21, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6012 | MN | Primary |
Addresses
Primary practice location
1150 Montreal Ave Ste 101
Saint Paul, MN 55116
Mailing address
1150 Montreal Ave Ste 101
Saint Paul, MN 55116-2393
Phone (651) 293-1497
Other practice location 1
199 Coon Rapids Blvd NW
Suite 315
Coon Rapids, MN 55433-5831
Phone (763) 717-9510
Other practice location 2
199 Coon Rapids Blvd NW
Suite 315
Coon Rapids, MN 55433-5831
Phone (763) 717-9510
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6012 | MN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William C. Gustafson, D.C., P.a. | Chiropractor | Current | Accepting new patients |
Locations
199 Coon Rapids Blvd NW
Ste 315
Minneapolis, MN 55433
Phone (763) 717-9510
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 and National Provider Directory roles.
-
- Chiropractor
- Coon Rapids, MN
- NPI 1548497340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543881600000",
"number": "1316336803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1150 MONTREAL AVE STE 101",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "551162393",
"telephone_number": "651-293-1497",
"fax_number": "763-717-2988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 MONTREAL AVE STE 101",
"city": "SAINT PAUL",
"state": "MN",
"postal_code": "55116",
"telephone_number": "651-293-1497",
"fax_number": "763-717-2988"
}
],
"practiceLocations": [
{
"address_1": "199 Coon Rapids Blvd NW",
"address_2": "Suite 315",
"address_purpose": "LOCATION",
"city": "Coon Rapids",
"state": "MN",
"postal_code": "554335831",
"country_code": "US",
"telephone_number": "763-717-9510",
"fax_number": "763-717-2988",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "199 Coon Rapids Blvd NW",
"address_2": "Suite 315",
"address_purpose": "LOCATION",
"city": "Coon Rapids",
"state": "MN",
"postal_code": "554335831",
"country_code": "US",
"telephone_number": "763-717-9510",
"fax_number": "763-717-2988",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NOLTE",
"first_name": "RYAN",
"middle_name": "W.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-21",
"last_updated": "2018-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Paul, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.