Individual provider Active NPI

Ryan A. Rooyakkers

  • Chiropractor
  • Norfolk, VA
National Provider Identifier
1720386261
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0104556897 Issued in VA
Practice address
1906 Colley Ave
Norfolk, VA 23517
Phone
(757) 627-3657
NPI assigned
Mar 8, 2011
Last updated
Jan 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0104556897 VA Primary

Addresses

Primary practice location

1906 Colley Ave
Norfolk, VA 23517

Mailing address

1325 White Marlin LN
Virginia Beach, VA 23464-6342
Phone (757) 748-5698

Other practice location 1

1300 Diamond Springs Rd Ste 501
Virginia Beach, VA 23455-3686
Phone (757) 748-5698

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110701000210 VA Practitioner - Chiropractic 6901084441 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1906 Colley Ave
Norfolk, VA 23517-1613
Phone (757) 748-5698

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Ellen Fitzenrider PLLC Chiropractor PastSince Jul 1, 2013 Accepting new patients
Kempsville Chiropractic Chiropractor PastSince Mar 14, 2016 Accepting new patients
Ives Associates, P.C. Chiropractor PastSince Jan 1, 1999 Accepting new patients

Organizations & group practices 4

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": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1720386261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 WHITE MARLIN LN",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234646342",
            "telephone_number": "757-748-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 COLLEY AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "23517",
            "telephone_number": "757-627-3657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Diamond Springs Rd Ste 501",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234553686",
            "country_code": "US",
            "telephone_number": "757-748-5698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROOYAKKERS",
        "first_name": "RYAN",
        "middle_name": "A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-08",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "VA",
            "license": "0104556897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.