Active NPI
Jarvis Ryals, M.D.
- Neuromusculoskeletal Medicine & OMM Physician
- Pueblo, CO
National Provider Identifier
1497208904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 0020063
- Practice address
- 84 Ironweed Dr
Pueblo, CO 81001-1048 - Phone
- (719) 250-3513
- NPI assigned
- Aug 1, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 0020063 | CO | Primary |
Addresses
Primary practice location
84 Ironweed Dr
Pueblo, CO 81001-1048
Mailing address
84 Ironweed Dr
Pueblo, CO 81001-1048
Phone (719) 250-3513
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0020063 | CO | MD | Neuromusculoskeletal Medicine & OMM Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1470009600000",
"number": "1497208904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 IRONWEED DR",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810011048",
"telephone_number": "719-250-3513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 IRONWEED DR",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810011048",
"telephone_number": "719-250-3513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYALS",
"first_name": "JARVIS",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-08-01",
"last_updated": "2016-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "CO",
"license": "0020063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 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.