Individual provider Active NPI

Ryan Shum, DC

  • Chiropractor
  • New York, NY
National Provider Identifier
1710212451
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012712 Issued in NY
Practice address
143 W 29TH St
New York, NY 10001-5103
Phone
(646) 650-2229
NPI assigned
Oct 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 012712 NY Primary

Addresses

Primary practice location

143 W 29TH St
New York, NY 10001-5103

Mailing address

143 W 29TH St FL 5
New York, NY 10001-5150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3398MAMDBehavioral Analyst
4192NCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
New York Metropolitan Orthopaedics and Spine, LLC CurrentSince Dec 24, 2023 Accepting new patients
Lake Norman Pain Relief & Wellness PastSince May 1, 2007 Accepting new patients
Midtown Chiropractic and Physical Therapy PLLC Chiropractor Past Accepting new patients
Khalsa Chiropractic Office P.C. Chiropractor PastSince Jan 1, 2008 Accepting new patients
Sports Group Physical Therapy Past Accepting new patients

Locations

143 W 29th St
Fl 5
New York, NY 10001
Phone (646) 650-2229

Organizations & group practices 5

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": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1710212451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 W 29TH ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 W 29TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015103",
            "telephone_number": "646-650-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUM",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-14",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; 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.