Individual provider Active NPI

Ryan Michael Killarney, L.AC.

  • Acupuncturist
  • Salt Lake City, UT
National Provider Identifier
1730476755
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
9189496-1201 Issued in UT
Practice address
34 S 500 E Ste 202
Salt Lake City, UT 84102-1094
Phone
(801) 582-2011
NPI assigned
Jun 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 9189496-1201 UT Primary

Addresses

Primary practice location

34 S 500 E Ste 202
Salt Lake City, UT 84102-1094

Mailing address

34 S 500 E Ste 202
Salt Lake City, UT 84102-1094
Phone (801) 582-2011

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9189496-1201UTMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1730476755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 S 500 E STE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021094",
            "telephone_number": "801-582-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 S 500 E STE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021094",
            "telephone_number": "801-582-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLARNEY",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "UT",
            "license": "9189496-1201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.