Ryan Daniel Cedermark, NP DC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN240492 Issued in GA

Practice address

1670 Scott Blvd Ste 200
Decatur, GA 30033-5645

Phone

(919) 210-9105

NPI assigned

Nov 15, 2011

Last updated

Mar 22, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Chiropractic Nutrition Center PC

  • Chiropractor
  • Cary, NC
  • NPI 1134153802
  NPD (past)
• Life University Inc

  • Chiropractor
  • San Juan, PR
  • NPI 1508580978
  NPD (past)
• Mybraindr LLC

  • Health Service Clinic/Center
  • Raleigh, NC
  • NPI 1881210128
  NPD (past)

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1649557968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 SCOTT BLVD STE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335645",
            "telephone_number": "919-210-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 SCOTT BLVD STE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335645",
            "telephone_number": "919-210-9105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Cornerstone Dr",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275198400",
            "country_code": "US",
            "telephone_number": "919-461-0046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CEDERMARK",
        "first_name": "RYAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "NP DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-15",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN240492",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4230",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ainoa Cazalis
• CC&D Services
• CC&T Services, LLC
• Ce Hope Counseling Center, LLC
• Rosa Denise Cedeno, LPC
• Diana Magaly Cedillo, CNM, MSN
• Center for Attachment Resource and Enrichment, Inc.
• Center for Behavioral Change PC
• Center for Cognitive Rehabilitation
• Centerwell Senior Primary Care Ga PC (CenterWell Senior Primary Care-Wesley Chapel)

• Family Nurse Practitioner in Decatur, GA
• Providers in Decatur, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2019; 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.