Active NPI
Michael T. Ryan III, D.C.
- Chiropractor
- Lynn, MA
National Provider Identifier
1689739203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2384
- Practice address
- 9 Nahant St
Lynn, MA 01902-3221 - Phone
- (781) 595-6560
- Fax
- (781) 595-6580
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 2384 | MA | Primary |
Addresses
Primary practice location
9 Nahant St
Lynn, MA 01902-3221
Mailing address
9 Nahant St
Lynn, MA 01902-3221
Phone (781) 595-6560
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AA37960 | Other | MA | HARVARD PILGRIM ID |
| 2808856 | Other | MA | CIGNA ID |
| Y36671 | Other | MA | BC BS OF MA PROVIDER ID |
| 2223887 | Other | MA | AETNA ID |
| 409472 | Other | MA | TUFTS ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
9 Nahant St
Lynn, MA 01902-3221
Phone (781) 595-6560
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2384 | MA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan Chiropractic PC | Chiropractor | Current | Accepting new patients |
Locations
9 Nahant St
Lynn, MA 01902
Phone (781) 595-6560
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
- Lynn, MA
- NPI 1982949848
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689739203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 NAHANT ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019023221",
"telephone_number": "781-595-6560",
"fax_number": "781-595-6580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 NAHANT ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019023221",
"telephone_number": "781-595-6560",
"fax_number": "781-595-6580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "MICHAEL",
"middle_name": "T.",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "2384",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM ID",
"identifier": "AA37960",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ID",
"identifier": "2808856",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF MA PROVIDER ID",
"identifier": "Y36671",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID",
"identifier": "2223887",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS ID",
"identifier": "409472",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynn, MA
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.
- 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.