Individual provider Active NPI

Ryan Craig Gutz, DC

  • Chiropractor
  • Conover, NC
National Provider Identifier
1487285045
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH61205025 Issued in WA
Practice address
408 1St Ave S
Conover, NC 28613-2704
Phone
(828) 464-7791
Fax
(828) 465-4062
NPI assigned
Jan 31, 2020
Last updated
May 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH61205025 WA Primary

Addresses

Primary practice location

408 1St Ave S
Conover, NC 28613-2704

Mailing address

509 Olive Way Ste 620
Seattle, WA 98101-1761
Phone (206) 622-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241003003601 NC Practitioner - Chiropractic 7113355652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Northwestern College of Chiropractic, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conover Chiropractic Center PAGroup PAC ID 6002844628, 3 clinicians

Practice addresses (Care Compare)

408 1St Ave S
Conover, NC 28613-2704
Phone (828) 464-7791

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5776NCMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Conover Chiropractic Center PA CurrentSince Aug 19, 2024 Accepting new patients

Locations

408 1st Ave S
Conover, NC 28613
Phone (828) 464-7791

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1487285045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 OLIVE WAY STE 620",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981011761",
            "telephone_number": "206-622-9001",
            "fax_number": "206-622-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 1ST AVE S",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286132704",
            "telephone_number": "828-464-7791",
            "fax_number": "828-465-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTZ",
        "first_name": "RYAN",
        "middle_name": "CRAIG",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-31",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH61205025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.