James Ryan Ciavarella, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4169 Issued in MN

Practice address

3515 Plymouth Blvd Ste 206
Plymouth, MN 55447-1382

Phone

(763) 475-8281

Fax

(763) 475-8291

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Precision Chiropractic & Wellness, PLLC

  • Chiropractor
  • Plymouth, MN
  • NPI 1962693747
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437372802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 PLYMOUTH BLVD STE 206",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471382",
            "telephone_number": "763-475-8281",
            "fax_number": "763-475-8291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 PLYMOUTH BLVD STE 206",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554471382",
            "telephone_number": "763-475-8281",
            "fax_number": "763-475-8291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAVARELLA",
        "first_name": "JAMES",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Chiu, PHARMD
• Bradley Daniel Chmielewski, M.D.
• Won Suk Choi, MD
• Joann Christensen
• Hoi Ling Ling Chu
• Birtukan Belew Cinnor, M.D., M.P.H.
• CK Quality Home Care Corporation
• Clarity Care LLC
• Courtney Clark
• Jessica Clark

• Chiropractor in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.