Individual provider Active NPI

Ryan Hartley, DC

  • Chiropractor
  • Des Moines, IA
National Provider Identifier
1679174197
Registry record updated Nov 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
105981 Issued in IA
Practice address
900 42ND St
Des Moines, IA 50312-2616
Phone
(515) 421-4018
NPI assigned
Nov 2, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 105981 IA Primary

Addresses

Primary practice location

900 42ND St
Des Moines, IA 50312-2616

Mailing address

601 E Locust St Ste 102
Des Moines, IA 50309-1941

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201116001049 IA Practitioner - Chiropractic 7618388026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Chiropractic and Rehabilitation Center PLLCGroup PAC ID 2769625144, 3 clinicians

Practice addresses (Care Compare)

900 42ND St
Des Moines, IA 50312-2616
Phone (515) 421-4018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105981IAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Chiropractic and Rehabilitation Center, PLLC Chiropractor CurrentSince Nov 1, 2020 Accepting new patients

Locations

601 E Locust St
Ste 102
Des Moines, IA 50309
Phone (515) 421-4018

900 42nd St
Des Moines, IA 50312
Phone (515) 421-4018

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": "1604275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606521600000",
    "number": "1679174197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E LOCUST ST STE 102",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 42ND ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503122616",
            "telephone_number": "515-421-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "RYAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-02",
        "last_updated": "2020-11-28",
        "certification_date": "2020-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "105981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2020; 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.