Active NPI
Mackenzie Veronica Ryczek, DC
- Chiropractor
- Greenwood, IN
National Provider Identifier
1659943587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08003197A
- Practice address
- 997 E County Line Rd Ste U
Greenwood, IN 46143-1076 - Phone
- (317) 883-9420
- NPI assigned
- Jul 12, 2021
- Sex
- Female
- 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 | 08003197A | IN | Primary |
Addresses
Primary practice location
997 E County Line Rd Ste U
Greenwood, IN 46143-1076
Mailing address
997 E County Line Rd Ste U
Greenwood, IN 46143-1076
Phone (317) 883-9420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210723002154 | IN | Practitioner - Chiropractic | 3971906256 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
997 E County Line Rd
Suite U
Greenwood, IN 46143-1076
Phone (317) 883-9420
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08003197A | IN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Wave Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
997 E County Line Rd
Ste U
Greenwood, IN 46143
Phone (317) 883-9420
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
- Greenwood, IN
- NPI 1811569742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626048000000",
"number": "1659943587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "997 E COUNTY LINE RD STE U",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431076",
"telephone_number": "317-883-9420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "997 E COUNTY LINE RD STE U",
"city": "GREENWOOD",
"state": "IN",
"postal_code": "461431076",
"telephone_number": "317-883-9420"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYCZEK",
"first_name": "MACKENZIE",
"middle_name": "VERONICA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-12",
"last_updated": "2021-07-12",
"certification_date": "2021-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08003197A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.