Individual provider Active NPI

Ryan Swink, D.C.

  • Rehabilitation Chiropractor
  • Goleta, CA
National Provider Identifier
1356530299
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
DC30726 Issued in CA
Practice address
139 N Fairview Ave
Goleta, CA 93117-2304
Phone
(805) 967-1254
Fax
(805) 683-3512
NPI assigned
Oct 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X DC30726 CA Primary

Addresses

Primary practice location

139 N Fairview Ave
Goleta, CA 93117-2304

Mailing address

139 N Fairview Ave
Goleta, CA 93117-2304
Phone (805) 967-1254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080411000641 CA Practitioner - ChiropracticPractitioner - Family Practice 0042397226 Practice locations: Goleta, CA

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Family Practice
Education
Cleveland Chiropractic College - Los Angeles, 2005
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

139 N Fairview Ave
Goleta, CA 93117-2304
Phone (805) 967-1254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30726CAMDClinical Psychologist
DC30726CAMDRehabilitation Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1356530299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 N FAIRVIEW AVE",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931172304",
            "telephone_number": "805-967-1254",
            "fax_number": "805-683-3512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 N FAIRVIEW AVE",
            "city": "GOLETA",
            "state": "CA",
            "postal_code": "931172304",
            "telephone_number": "805-967-1254",
            "fax_number": "805-683-3512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWINK",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-16",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "DC30726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goleta, CA

Sources for this page

Verify at the official NPI Registry.