Bruce Harlan Ryan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00001413 Issued in WA

Practice address

18820 Aurora Ave N
Suite 102
Shoreline, WA 98133-3900

Phone

(206) 546-2205

Fax

(206) 533-6214

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ascension Chiropractic and Wellness Center P.S. Inc

  • Chiropractor
  • Shoreline, WA
  • NPI 1881997997
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710037577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18820 AURORA AVE N",
            "address_2": "SUITE 102",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333900",
            "telephone_number": "206-546-2205",
            "fax_number": "206-533-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18820 AURORA AVE N",
            "address_2": "SUITE 102",
            "city": "SHORELINE",
            "state": "WA",
            "postal_code": "981333900",
            "telephone_number": "206-546-2205",
            "fax_number": "206-533-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "BRUCE",
        "middle_name": "HARLAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR & INDUSTRIES",
            "identifier": "16782",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2053403",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BLUE SHIELD",
            "identifier": "RY0018",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Runge
• Penelope Phuong Minh Ruoff, DMD
• Maria Jeanette Russell, PA-C
• Jonas Rutledge
• Andrea Ryan, MACCC-SLP
• Nicole R Ryerson, IBCLC
• Matthew Ryskalczyk, DMD, MD
• Chelsie Rose Castro Sablan
• Azar Sadeghalvad, M.D.
• Tara Leigh Sadr, PA-C

• Chiropractor in Shoreline, WA
• Providers in Shoreline, WA by specialty
• Chiropractor in Washington

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.