Active NPI
Ryan Manns
- Chiropractor
- Eagle River, AK
National Provider Identifier
1497414510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 182571
- Practice address
- 11462 Business Blvd Eagle
Eagle River, AK 99577-9957 - Phone
- (907) 694-9224
- NPI assigned
- Dec 16, 2021
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 182571 | AK | Primary |
Addresses
Primary practice location
11462 Business Blvd Eagle
Eagle River, AK 99577-9957
Mailing address
3310 Starboard LN
Anchorage, AK 99516-3597
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639612800000",
"number": "1497414510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3310 STARBOARD LN",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995163597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11462 BUSINESS BLVD EAGLE",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995779957",
"telephone_number": "907-694-9224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNS",
"first_name": "RYAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-12-16",
"last_updated": "2021-12-16",
"certification_date": "2021-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AK",
"license": "182571",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eagle River, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.