Individual provider Active NPI

Ryan Ross, DC

  • Chiropractor
  • Newark, DE
National Provider Identifier
1770247207
Registry record updated Oct 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
F1-0011063 Issued in DE
Practice address
54 Omega Dr
Newark, DE 19713-2062
Phone
(302) 321-6001
NPI assigned
Oct 31, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X F1-0011063 DE Primary

Addresses

Primary practice location

54 Omega Dr
Newark, DE 19713-2062

Mailing address

656 Montgomery Woods Dr
Hockessin, DE 19707-9654

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231226001451 DE Practitioner - Chiropractic 4486004900 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Integrative Healthcare LLCGroup PAC ID 7012254378, 5 clinicians
Dih New Castle LLCGroup PAC ID 0042791634, 2 clinicians

Practice addresses (Care Compare)

421 E Main St
Suite 6
Middletown, DE 19709-1463
Phone (302) 376-5830

92 Reads Way
Suite 102
New Castle, DE 19720-1631
Phone (302) 544-7774

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware Integrative Healthcare LLC Chiropractor CurrentSince Dec 6, 2023 Accepting new patients
Delaware Integrative Healthcare, LLC CurrentSince Aug 1, 2023 Accepting new patients
Dih New Castle LLC Chiropractor CurrentSince Mar 1, 2026 Accepting new patients

Locations

421 E Main St
Unit 6
Middletown, DE 19709

421 E Main St
Ste 6
Middletown, DE 19709
Phone (302) 376-5830

92 Reads Way
Ste 102
New Castle, DE 19720
Phone (302) 544-7774

Organizations & group practices 3

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": "1635638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635638400000",
    "number": "1770247207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "656 MONTGOMERY WOODS DR",
            "city": "HOCKESSIN",
            "state": "DE",
            "postal_code": "197079654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 OMEGA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132062",
            "telephone_number": "302-321-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "RYAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-31",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0011063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2021; 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.