Ryan Dean Donovan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00034707 Issued in WA

Practice address

23220 Maple Valley Black Diamond Rd SE
Suite 13
Maple Valley, WA 98038-5225

Phone

(425) 432-1449

Fax

(425) 432-9910

NPI assigned

Mar 22, 2007

Sex

Male

Sole proprietor

No

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.

• Maple Valley Chiropractic and Massage, Inc.

  • Chiropractor
  • Maple Valley, WA
  • NPI 1396025870
  Medicare reassignment NPD Authorized official

Specialty

Chiropractic

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in WA

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 20, 2016.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476921600000",
    "number": "1376669341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23220 MAPLE VALLEY BLACK DIAMOND RD SE",
            "address_2": "SUITE 13",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385225",
            "telephone_number": "425-432-1449",
            "fax_number": "425-432-9910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23220 MAPLE VALLEY BLACK DIAMOND RD SE",
            "address_2": "SUITE 13",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385225",
            "telephone_number": "425-432-1449",
            "fax_number": "425-432-9910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "RYAN",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2016-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00034707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sukhdip Singh Dhillon, MD
• Nguyet Dang Minh DO, PHARMACIST
• Trung Doan
• Samona Doeman
• Jerick Angelo Malazarte Domingo
• Jeffrey Doornbos, PHARMD
• Kristen Elizabeth Drury, PA-C
• Caitlyn Dungan, BS
• Joshua Ross Dunlap, RN
• Eidens Therapy Group

• All providers in Maple Valley, WA
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.