Individual provider Active NPI

Ryan Alan Morningstar, DC

  • Chiropractor
  • Mishawaka, IN
National Provider Identifier
1649693292
Registry record updated Jan 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
080027852A Issued in IN
Practice address
1722 East Day Rd.
Mishawaka, IN 46545-4300
Phone
(574) 222-2625
Fax
(770) 979-2275
NPI assigned
Jan 31, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 080027852A IN Primary

Addresses

Primary practice location

1722 East Day Rd.
Mishawaka, IN 46545-4300

Mailing address

1722 East Day Rd.
Mishawaka, IN 46545-4300
Phone (574) 222-2625

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140321000280 IN Practitioner - Chiropractic 3476784133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Above All Chiropractic Center, LLCGroup PAC ID 2567693229, 2 clinicians

Practice addresses (Care Compare)

1644 E Day Rd
Mishawaka, IN 46545-3469
Phone (574) 222-2625

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
080027852AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Above All Chiropractic Center, LLC Chiropractor CurrentSince Feb 4, 2014 Accepting new patients

Locations

1644 E Day Rd
Mishawaka, IN 46545
Phone (574) 222-2625

1722 E Day Rd
Mishawaka, IN 46545
Phone (574) 222-2625

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": "1391126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391126400000",
    "number": "1649693292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 EAST DAY RD.",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465454300",
            "telephone_number": "574-222-2625",
            "fax_number": "770-979-2275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 EAST DAY RD.",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465454300",
            "telephone_number": "574-222-2625",
            "fax_number": "770-979-2275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORNINGSTAR",
        "first_name": "RYAN",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-31",
        "last_updated": "2014-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "080027852A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; 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.