Ryan David Nienaber, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

273369 Issued in OR

Practice address

30789 SW Boones Ferry Rd
Suite P
Wilsonville, OR 97070

Phone

(503) 682-6778

Fax

(503) 682-6744

NPI assigned

Nov 9, 2006

Last updated

Oct 24, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Boones Ferry Chiropractic and Massage PCGroup PAC ID 6608890843, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Boones Ferry Chiropractic and Massage PC

  • Chiropractor
  • Wilsonville, OR
  • NPI 1417142530
  Medicare reassignment Care Compare group Authorized official
• Terrance E. Erdman D.C, P.C.

  • Chiropractor
  • Tigard, OR
  • NPI 1255504544
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1467523811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30789 SW BOONES FERRY RD",
            "address_2": "SUITE P",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "97070",
            "telephone_number": "503-682-6778",
            "fax_number": "503-682-6744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30789 SW BOONES FERRY RD",
            "address_2": "SUITE P",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "97070",
            "telephone_number": "503-682-6778",
            "fax_number": "503-682-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIENABER",
        "first_name": "RYAN",
        "middle_name": "DAVID",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "835227000BCBSO",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Next Level Chiropractic of Wilsonville
• Tuyen Nguyen, PHARMD
• Laura Marlene Nibert-Young, RN
• Corrina Renee Nickerson
• Madelyn Anne Nicklous
• Nao Nishimura, D.C.
• Paul Allen Nixon, LMT
• Rebecca Nixon, L.M.T.
• No Boundaries Sport and Spine LLC
• Arleen Norkitis, PT

• Chiropractor in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.