Individual provider Active NPI

Ryan Spuller, D.C.

  • Chiropractor
  • Pleasanton, CA
National Provider Identifier
1811920259
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
30046 Issued in CA
Practice address
2340 Santa Rita Rd
Suite 3
Pleasanton, CA 94566-4151
Phone
(925) 484-2558
Fax
(925) 484-3951
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 30046 CA Primary

Addresses

Primary practice location

2340 Santa Rita Rd
Suite 3
Pleasanton, CA 94566-4151

Mailing address

2340 Santa Rita Rd
Suite 3
Pleasanton, CA 94566-4151
Phone (925) 484-2558

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060728000379 CA Practitioner - Chiropractic 7719990274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2340 Santa Rita Rd
Suite 3
Pleasanton, CA 94566-4100
Phone (925) 484-2558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spinal Health Chiropractic a Spuller Corporation Chiropractor CurrentSince Sep 23, 2016 Accepting new patients

Locations

2340 Santa Rita Rd
Ste 3
Pleasanton, CA 94566
Phone (925) 462-1100

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, 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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340236800000",
    "number": "1811920259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 SANTA RITA RD",
            "address_2": "SUITE 3",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664151",
            "telephone_number": "925-484-2558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 SANTA RITA RD",
            "address_2": "SUITE 3",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945664151",
            "telephone_number": "925-484-2558",
            "fax_number": "925-484-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPULLER",
        "first_name": "RYAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2012-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "30046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.