Leslie M Ryan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH12312 Issued in FL

Practice address

2074 Meadowlane Ave
Melbourne, FL 32904-4950

Phone

(321) 400-6282

Fax

(321) 333-5335

NPI assigned

Sep 26, 2017

Last updated

Nov 23, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Atlantic Way Chiropractic, LLC

  • Clinic/Center
  • Melbourne, FL
  • NPI 1477262962
  Authorized official Same address or phone

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1548779150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 BONNIE CIR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329014123",
            "telephone_number": "321-400-6282",
            "fax_number": "321-333-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 MEADOWLANE AVE",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329044950",
            "telephone_number": "321-400-6282",
            "fax_number": "321-333-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "LESLIE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-26",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH12312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Luis Russell
• Jeanette Christine Ruth
• RX Care 16 LLC (Melbourne Drugs)
• Dennis Ryan, PA
• John Joseph Ryan, PT
• Randolph Raymond Ryan, D.C.
• Scott Ryan
• Danielle Ryba, M.S., CCC-SLP
• James Joseph Rybacki, PHARMD
• Monica Ryland, ARNP

• Chiropractor in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.