Individual provider Active NPI

Ryan P Zeller, DO

  • Family Medicine Physician
  • Sparks, NV
National Provider Identifier
1346372760
Registry record updated Oct 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1262 Issued in NV
Practice address
2205 Glendale Ave
#131
Sparks, NV 89431-5511
Phone
(775) 331-3361
Fax
(775) 331-4719
NPI assigned
Mar 12, 2007
Last updated
Oct 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1262 NV Primary

Addresses

Primary practice location

2205 Glendale Ave
#131
Sparks, NV 89431-5511

Mailing address

230 Bret Harte Ave
Reno, NV 89509-2610
Phone (775) 219-6849

Other identifiers 1

IdentifierTypeStateIssuer
1262OtherNVMEDICAL LISENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070827000680 NV Practitioner - Family PracticePractitioner - Osteopathic Manipulative MedicinePractitioner - Geriatric MedicinePractitioner - Addiction Medicine 9537251160 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
The Life Change Center CurrentSince Apr 29, 2019 Accepting new patients
The Life Change Center CurrentSince Jan 14, 2020 Accepting new patients
The Life Change Center CurrentSince Apr 29, 2019 Accepting new patients
Arc Workplace Service, LLC PastSince Aug 28, 2021 Accepting new patients
Sierra Plastic Surgery LLC Past Accepting new patients
Arc Health & Wellness Centers LLC Past Accepting new patients

Locations

1201 N Stewart St
Ste 120
Carson City, NV 89706
Phone (775) 350-7250

1755 Sullivan Ln
Sparks, NV 89431
Phone (775) 355-7734

Organizations & group practices 6

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": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191801600000",
    "number": "1346372760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 BRET HARTE AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895092610",
            "telephone_number": "775-219-6849",
            "fax_number": "775-624-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 GLENDALE AVE",
            "address_2": "#131",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894315511",
            "telephone_number": "775-331-3361",
            "fax_number": "775-331-4719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZELLER",
        "first_name": "RYAN",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "1262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LISENCE",
            "identifier": "1262",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.