Active NPI
Ryan Andrew Keddy, D.C.
- Chiropractor
- Carthage, NY
National Provider Identifier
1821044322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X011209
- Practice address
- 850 State St
Carthage, NY 13619-1429 - Phone
- (315) 493-2225
- Fax
- (315) 493-2224
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X011209 | NY | Primary |
Addresses
Primary practice location
850 State St
Carthage, NY 13619-1429
Mailing address
850 State St
Carthage, NY 13619-1429
Phone (315) 493-2225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
850 State St
Carthage, NY 13619-1429
Phone (315) 493-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X011209 | NY | MD | Chiropractor |
| 011209 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryan a. Keddy D.C, P.C | Chiropractor | Current | Accepting new patients |
Locations
850 State St
Carthage, NY 13619
Phone (315) 493-2225
137 E Main St
Ste 5
Gouverneur, NY 13642
Phone (315) 287-2400
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.
-
- Chiropractor
- Carthage, NY
- NPI 1013946136
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1821044322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 STATE ST",
"city": "CARTHAGE",
"state": "NY",
"postal_code": "136191429",
"telephone_number": "315-493-2225",
"fax_number": "315-493-2224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 STATE ST",
"city": "CARTHAGE",
"state": "NY",
"postal_code": "136191429",
"telephone_number": "315-493-2225",
"fax_number": "315-493-2224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEDDY",
"first_name": "RYAN",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-26",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X011209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carthage, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; 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.