Active NPI
Ryan P Rademacker, D.C.
- Chiropractor
- Canandaigua, NY
National Provider Identifier
1659468551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X010717-1
- Practice address
- 23 North St
Suite 7
Canandaigua, NY 14424-1053 - Phone
- (585) 394-8430
- Fax
- (585) 394-8154
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 | X010717-1 | NY | Primary |
Addresses
Primary practice location
23 North St
Suite 7
Canandaigua, NY 14424-1053
Mailing address
23 North St
Suite 7
Canandaigua, NY 14424-1053
Phone (585) 394-8430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 838800 | Other | NY | MANANGED PHYICAL NETWORK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X010717-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rademacker Specific Chiropractic, P.C. | Chiropractor | Current | Accepting new patients |
Locations
23 North St
Ste 7
Canandaigua, NY 14424
Phone (585) 394-8430
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.
-
- Chiropractor
- Canandaigua, NY
- NPI 1053408971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659468551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 NORTH ST",
"address_2": "SUITE 7",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144241053",
"telephone_number": "585-394-8430",
"fax_number": "585-394-8154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 NORTH ST",
"address_2": "SUITE 7",
"city": "CANANDAIGUA",
"state": "NY",
"postal_code": "144241053",
"telephone_number": "585-394-8430",
"fax_number": "585-394-8154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADEMACKER",
"first_name": "RYAN",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X010717-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANANGED PHYICAL NETWORK",
"identifier": "838800",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canandaigua, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.