Active NPI
Ryan James Wasmund, D.C.
- Chiropractor
- Burnsville, MN
National Provider Identifier
1437693702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6292
- Practice address
- 13955 W Preserve Blvd Ste 200
Burnsville, MN 55337-7733 - Phone
- (952) 890-0804
- NPI assigned
- Dec 6, 2016
- 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 | 6292 | MN | Primary |
Addresses
Primary practice location
13955 W Preserve Blvd Ste 200
Burnsville, MN 55337-7733
Mailing address
13955 W Preserve Blvd Ste 200
Burnsville, MN 55337-7733
Phone (952) 890-0804
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6292 | MN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480982400000",
"number": "1437693702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13955 W PRESERVE BLVD STE 200",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553377733",
"telephone_number": "952-890-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13955 W PRESERVE BLVD STE 200",
"city": "BURNSVILLE",
"state": "MN",
"postal_code": "553377733",
"telephone_number": "952-890-0804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASMUND",
"first_name": "RYAN",
"middle_name": "JAMES",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-06",
"last_updated": "2016-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MN",
"license": "6292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burnsville, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.