Individual provider Active NPI

Ryder Vytautas Kardokas-Johanson, LAC

  • Acupuncturist
  • Ashland, OR
National Provider Identifier
1356883102
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC180365 Issued in OR
Practice address
233 4TH St
Ashland, OR 97520-2043
Phone
(541) 500-7233
NPI assigned
Nov 10, 2016
Last updated
Jan 12, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC180365 OR Primary

Addresses

Primary practice location

233 4TH St
Ashland, OR 97520-2043

Mailing address

337 Taylor St
Ashland, OR 97520-3057
Phone (541) 500-7233

Other names 1

  • Ryder Vytautas Johanson Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
AC180365ORMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryder Johanson, L.Ac. Acupuncturist Current Accepting new patients
Ryder Johanson LLC Acupuncturist Current Accepting new patients

Locations

233 4th St
Ashland, OR 97520
Phone (541) 301-7414

724 S Central Ave
Ste 209
Medford, OR 97501
Phone (541) 207-8824

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": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768176000000",
    "number": "1356883102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 TAYLOR ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975203057",
            "telephone_number": "541-500-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 4TH ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975202043",
            "telephone_number": "541-500-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARDOKAS-JOHANSON",
        "first_name": "RYDER",
        "middle_name": "VYTAUTAS",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-10",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC180365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RYDER",
            "last_name": "JOHANSON",
            "middle_name": "VYTAUTAS",
            "credential": "LAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.