Individual provider Active NPI

Breanna Ryan, D.C.

  • Chiropractor
  • Colorado Springs, CO
National Provider Identifier
1730537127
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHR.0007539 Issued in CO
Practice address
6049 Barnes Rd
Colorado Springs, CO 80922-2603
Phone
(719) 637-7900
NPI assigned
May 26, 2016
Last updated
Nov 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05806 KS
Chiropractor 111N00000X CHR.0007539 CO Primary
Nutrition Chiropractor 111NN1001X 01-05806 KS
Pediatric Chiropractor 111NP0017X CHR.0007539 CO

Addresses

Primary practice location

6049 Barnes Rd
Colorado Springs, CO 80922-2603

Mailing address

6049 Barnes Rd
Colorado Springs, CO 80922-2603
Phone (719) 637-7900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170215000752 CO Practitioner - Chiropractic 2163705203 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-05806KSMDChiropractor
CHR.0007539COMDPediatric Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tor Billing LLC Chiropractor Current Accepting new patients
Tor Wellness, LLC Chiropractor CurrentSince Dec 21, 2016 Accepting new patients
Tor Wellness Two Chiropractor CurrentSince Jan 7, 2024 Accepting new patients
100 Percent Chiropractic Colorado Springs Six, LLC Chiropractor Past Accepting new patients

Locations

1722 E Woodmen Rd
Colorado Springs, CO 80920
Phone (719) 358-7422

6049 Barnes Rd
Colorado Springs, CO 80922
Phone (719) 637-7900

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": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1730537127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6049 BARNES RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222603",
            "telephone_number": "719-637-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6049 BARNES RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809222603",
            "telephone_number": "719-637-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "BREANNA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05806",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "CHR.0007539",
            "primary": true
        },
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "KS",
            "license": "01-05806",
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "CO",
            "license": "CHR.0007539",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.