Active NPI
Ryan Craig Gutz, DC
- Chiropractor
- Conover, NC
National Provider Identifier
1487285045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH61205025
- 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, 2024
- 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 | 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5776 | NC | MD | Registered Respiratory Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conover Chiropractic Center PA | Current | 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.
-
- Orthopedic Chiropractor
- Conover, NC
- NPI 1609976497
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.