Ryan Edward Zaidel, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5183 Issued in MN

Practice address

47 N Waterville Ave
Le Center, MN 56057-1522

Phone

(952) 484-7738

NPI assigned

Jan 6, 2009

Last updated

May 8, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Priority Health Chiropractic Clinic

  • Chiropractor
  • Le Center, MN
  • NPI 1255563920
  NPD (past) Authorized official

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241740800000",
    "number": "1407092893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 N WATERVILLE AVE",
            "city": "LE CENTER",
            "state": "MN",
            "postal_code": "560571522",
            "telephone_number": "952-484-7738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 N WATERVILLE AVE",
            "city": "LE CENTER",
            "state": "MN",
            "postal_code": "560571522",
            "telephone_number": "952-484-7738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAIDEL",
        "first_name": "RYAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Beacon at Le Center LLC
• Mark S Traxler, MA, LP
• Jennifer Weiers
• Kayla Wolff, LICSW
• Mai See Yang

• Chiropractor in Le Center, MN
• Providers in Le Center, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.