Individual provider Active NPI

Ryan K. Van Matre, D.C.

  • Chiropractor
  • Delphi, IN
National Provider Identifier
1720014541
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001984A Issued in IN
Practice address
315 W Main St
Delphi, IN 46923-1437
Phone
(765) 564-1900
Fax
(317) 817-9903
NPI assigned
Jun 23, 2006
Last updated
Dec 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 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 08001984A IN Primary

Addresses

Primary practice location

315 W Main St
Delphi, IN 46923-1437

Mailing address

718 Adams St
Ste D
Carmel, IN 46032-7594

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090605000464 IN Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 4183656101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Logan College of Chiropractic, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ryan K Van Matre DC IncGroup PAC ID 7911939921, 5 clinicians

Practice addresses (Care Compare)

718 Adams St
Carmel, IN 46032-7590
Phone (317) 817-9900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08001984AINMDChiropractor

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1720014541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 ADAMS ST",
            "address_2": "STE D",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460327594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W MAIN ST",
            "city": "DELPHI",
            "state": "IN",
            "postal_code": "469231437",
            "telephone_number": "765-564-1900",
            "fax_number": "317-817-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN MATRE",
        "first_name": "RYAN",
        "middle_name": "K.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001984A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delphi, IN

Sources for this page

Verify at the official NPI Registry.