Active NPI
Ryan Patrick Koch, D.C.
- Chiropractor
- Bismarck, ND
National Provider Identifier
1437200839
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 785
- Practice address
- 2600 Gateway Ave
Suite 2
Bismarck, ND 58503-0568 - Phone
- (701) 751-1161
- NPI assigned
- Jan 15, 2007
- Last updated
- Feb 29, 2008
- 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 | 785 | ND | Primary |
Addresses
Primary practice location
2600 Gateway Ave
Suite 2
Bismarck, ND 58503-0568
Mailing address
2600 Gateway Ave
Suite 2
Bismarck, ND 58503-0568
Phone (701) 751-1161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30415 | Other | BCBS ND PROVIDER NUMBER | |
| 07066-001 | Other | ND | BCBS ND CLINIC/GROUP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Northwestern College of Chiropractic, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2600 Gateway Ave
Suite 2
Bismarck, ND 58503-0513
Phone (701) 751-1161
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 785 | ND | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Ryan Koch, P.C. | Chiropractor | Current | Accepting new patients |
| Capital Chiropractic PC | Chiropractor | Past | Accepting new patients |
Locations
2600 Gateway Ave
Ste 2
Bismarck, ND 58503
Phone (701) 214-6818
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.
-
- Chiropractor
- Bismarck, ND
- NPI 1811171499
-
- Chiropractor
- Bismarck, ND
- NPI 1689704553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204243200000",
"number": "1437200839",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 GATEWAY AVE",
"address_2": "SUITE 2",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030568",
"telephone_number": "701-751-1161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 GATEWAY AVE",
"address_2": "SUITE 2",
"city": "BISMARCK",
"state": "ND",
"postal_code": "585030568",
"telephone_number": "701-751-1161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "RYAN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2008-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ND",
"license": "785",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ND PROVIDER NUMBER",
"identifier": "30415",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS ND CLINIC/GROUP #",
"identifier": "07066-001",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bismarck, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.