Individual provider Active NPI

Ryan David Dick, D.C.

  • Chiropractor
  • Gahanna, OH
National Provider Identifier
1770868945
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4345 Issued in OH
Practice address
1329 Cherry Way Dr Ste 500
Gahanna, OH 43230-6782
Phone
(614) 407-1225
Fax
(614) 522-6760
NPI assigned
Oct 19, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 10442 FL
Chiropractor 111N00000X 4345 OH Primary

Addresses

Primary practice location

1329 Cherry Way Dr Ste 500
Gahanna, OH 43230-6782

Mailing address

4081 Pathfield Dr
Columbus, OH 43230-6330
Phone (419) 205-6795

Other practice location 1

6294 Cypress Springs Pkwy
Port Orange, FL 32128-6936
Phone (419) 205-6795

Other practice location 2

6790 Thrush Dr
Canal Winchester, OH 43110-8385
Phone (614) 833-0563

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150226002217 OH Practitioner - Chiropractic 1355667833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prohealth Chiropractic and Injury Center LLCGroup PAC ID 0547534117, 2 clinicians

Practice addresses (Care Compare)

1329 Cherry Way Dr
Suite 500
Gahanna, OH 43230-6782
Phone (614) 407-1225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 10442FLMDChiropractor
4345OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Chiropractic and Injury Center LLC Chiropractor CurrentSince Jun 5, 2017 Accepting new patients

Locations

1329 Cherry Way Dr
Ste 500
Gahanna, OH 43230
Phone (614) 407-1225

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1770868945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4081 PATHFIELD DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432306330",
            "telephone_number": "14192056795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 CHERRY WAY DR STE 500",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306782",
            "telephone_number": "614-407-1225",
            "fax_number": "614-522-6760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6294 Cypress Springs Pkwy",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321286936",
            "country_code": "US",
            "telephone_number": "419-205-6795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6790 Thrush Dr",
            "address_purpose": "LOCATION",
            "city": "Canal Winchester",
            "state": "OH",
            "postal_code": "431108385",
            "country_code": "US",
            "telephone_number": "614-833-0563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICK",
        "first_name": "RYAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 10442",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.