Active NPI
Ryan A McDonnel, DC
- Chiropractor
- Fredericksburg, VA
National Provider Identifier
1427065002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0104556359
- Practice address
- 5705 Salem Run Blvd
Suite 100
Fredericksburg, VA 22407-7119 - Phone
- (540) 786-4882
- Fax
- (540) 786-4893
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0104556359 | VA | Primary |
Addresses
Primary practice location
5705 Salem Run Blvd
Suite 100
Fredericksburg, VA 22407-7119
Mailing address
17470 Center Dr
Suite 4C
Ruther Glen, VA 22546-2881
Phone (804) 448-0887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0104556359 | Other | VA | VA STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050916000689 | VA | Practitioner - Chiropractic | 2365475571 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17470 Ctr Dr
Suite 4C
Ruther Glen, VA 22546-2881
Phone (804) 448-0887
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McDonnel LLC | Chiropractor | Current | Accepting new patients |
| Asimacopoulos, LLC | Chiropractor | Past | Accepting new patients |
| Bea, LLC | Chiropractor | Past | Accepting new patients |
Locations
17470 Center Dr
Ste 4C
Ruther Glen, VA 22546
Phone (804) 448-0887
Organizations & group practices 3
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.
-
- Chiropractor
- Ruther Glen, VA
- NPI 1053640730
-
- Chiropractor
- Fredericksburg, VA
- NPI 1245247832
-
- Chiropractor
- Fredericksburg, VA
- NPI 1831483734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260144000000",
"number": "1427065002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17470 CENTER DR",
"address_2": "SUITE 4C",
"city": "RUTHER GLEN",
"state": "VA",
"postal_code": "225462881",
"telephone_number": "804-448-0887",
"fax_number": "804-448-0887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5705 SALEM RUN BLVD",
"address_2": "SUITE 100",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224077119",
"telephone_number": "540-786-4882",
"fax_number": "540-786-4893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONNEL",
"first_name": "RYAN",
"middle_name": "A",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2009-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "VA",
"license": "0104556359",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VA STATE LICENSE NUMBER",
"identifier": "0104556359",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.