Dr. Ryan Koch, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

785 Issued in ND

Legal business name

DR. RYAN KOCH, P.C.

Practice address

2600 Gateway Ave
Suite 2
Bismarck, ND 58503-0568

Phone

(701) 751-1161

NPI assigned

Dec 19, 2007

Last updated

Feb 29, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ryan Patrick Koch, D.C.NPI 1437200839

Title

Chiropractor

Phone

(701) 751-1161

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ND

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ryan Patrick Koch, D.C.

  • Chiropractor
  • Bismarck, ND
  • NPI 1437200839
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204243200000",
    "number": "1811171499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 GATEWAY AVE",
            "address_2": "SUITE 2",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030568",
            "telephone_number": "701-751-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GATEWAY AVE",
            "address_2": "SUITE 2",
            "city": "BISMARCK",
            "state": "ND",
            "postal_code": "585030568",
            "telephone_number": "701-751-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RYAN KOCH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-02-29",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "701-751-1161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ND",
            "license": "785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ND PROVIDER #",
            "identifier": "30415",
            "state": "ND"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ND GROUP/CLINIC #",
            "identifier": "07066-001",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Bismarck, ND
• Providers in Bismarck, ND by specialty
• Chiropractor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2008; 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.