Individual provider Active NPI

Ryne Fiebig, D.C.

  • Sports Physician Chiropractor
  • Los Gatos, CA
National Provider Identifier
1427419704
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
33509 Issued in CA
Practice address
15729 Los Gatos Blvd
#100
Los Gatos, CA 95032-2555
Phone
(408) 358-7900
Fax
(408) 359-4020
NPI assigned
Mar 14, 2016
Last updated
Mar 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 33509 CA Primary

Addresses

Primary practice location

15729 Los Gatos Blvd
#100
Los Gatos, CA 95032-2555

Mailing address

15729 Los Gatos Blvd
#100
Los Gatos, CA 95032-2555
Phone (408) 358-7900

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1427419704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15729 LOS GATOS BLVD",
            "address_2": "#100",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322555",
            "telephone_number": "408-358-7900",
            "fax_number": "408-359-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15729 LOS GATOS BLVD",
            "address_2": "#100",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950322555",
            "telephone_number": "408-358-7900",
            "fax_number": "408-359-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIEBIG",
        "first_name": "RYNE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "CA",
            "license": "33509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.