Timothy Parker Ryan, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

973 Issued in MT

Practice address

690 N Meridian Rd
Ste 108
Kalispell, MT 59901-3586

Phone

(406) 755-6030

Fax

(406) 755-6031

NPI assigned

Jun 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MT

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ryan Chiropractic Clinic PLLC

  • Clinic/Center
  • Kalispell, MT
  • NPI 1053516807
  Medicare reassignment Authorized official
• 4 My Kids Family Practice PLLC

  dba 4 My Kids Family Practice

  • Clinic/Center
  • Kalispell, MT
  • NPI 1831341296
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1790713980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 N MERIDIAN RD",
            "address_2": "STE 108",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013586",
            "telephone_number": "406-755-6030",
            "fax_number": "406-755-6031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 N MERIDIAN RD",
            "address_2": "STE 108",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013586",
            "telephone_number": "406-755-6030",
            "fax_number": "406-755-6031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "TIMOTHY",
        "middle_name": "PARKER",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misha Russ, CNM
• Jochen Russig, LCSW
• Alexandria Renee Rutherford, M.D.
• Michael Todd Rutherford, M.D.
• Ryan Chiropractic Clinic PLLC
• Kathryn Ryen, LCPC
• Anthony James Sabol, CRNA
• Paige Lauren Sadowski, MS, RD
• Laura Sage, M.D.
• Raymond Tabo Saito, PA

• Chiropractor in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Chiropractor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.