Individual provider Active NPI

Mackenzie Veronica Ryczek, DC

  • Chiropractor
  • Greenwood, IN
National Provider Identifier
1659943587
Registry record updated Jul 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08003197A Issued in IN
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

Updated by the provider on Jul 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
New Wave Chiropractic LLCGroup PAC ID 1153724430, 2 clinicians

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

LicenseStateTypeSpecialty
08003197AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
New Wave Chiropractic LLC Chiropractor CurrentSince Oct 5, 2020 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.

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.

Verify at the official NPI Registry.