Individual provider Active NPI

Ryan Adam Loren Sr., DC

  • Chiropractor
  • Port Huron, MI
National Provider Identifier
1619329075
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301401264 Issued in MI
Practice address
1009 Ontario St
Port Huron, MI 48060-3729
Phone
(810) 966-1900
Fax
(810) 966-1901
NPI assigned
Jul 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301401264 MI Primary

Addresses

Primary practice location

1009 Ontario St
Port Huron, MI 48060-3729

Mailing address

1009 Ontario St
Port Huron, MI 48060-3729
Phone (810) 966-1900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250327000472 MI Practitioner - Chiropractic 6002100724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jody Smith Chiropractic, P.L.L.C.Group PAC ID 3274683925, 2 clinicians

Practice addresses (Care Compare)

1009 Ontario St
Port Huron, MI 48060-3729
Phone (810) 966-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301401264MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jody Smith Chiropractic PLLC Chiropractor CurrentSince Sep 29, 2025 Accepting new patients

Locations

1009 Ontario St
Port Huron, MI 48060
Phone (810) 966-1900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1619329075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 ONTARIO ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603729",
            "telephone_number": "810-966-1900",
            "fax_number": "810-966-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 ONTARIO ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480603729",
            "telephone_number": "810-966-1900",
            "fax_number": "810-966-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOREN",
        "first_name": "RYAN",
        "middle_name": "ADAM",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-11",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Huron, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.