Active NPI
Ryan Patrick Hollien, DC
- Chiropractor
- Boston, MA
National Provider Identifier
1821333212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3649
- Practice address
- 212 Northern Ave
Boston, MA 02210-2089 - Phone
- (617) 519-3607
- NPI assigned
- Dec 11, 2012
- Sex
- Male
- Sole proprietor
- No
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 | 3649 | MA | Primary |
Addresses
Primary practice location
212 Northern Ave
Boston, MA 02210-2089
Mailing address
11 Bunton St
Milton, MA 02186
Phone (617) 519-3607
Other practice location 1
11 Bunton St
Milton, MA 02186
Phone (617) 519-3607
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
212 Northern Ave
Boston, MA 02210-2089
Phone (617) 519-3607
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
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
- Boston, MA
- NPI 1255962379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580083200000",
"number": "1821333212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BUNTON ST",
"city": "MILTON",
"state": "MA",
"postal_code": "02186",
"telephone_number": "617-519-3607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 NORTHERN AVE",
"city": "BOSTON",
"state": "MA",
"postal_code": "022102089",
"telephone_number": "617-519-3607"
}
],
"practiceLocations": [
{
"address_1": "11 Bunton St",
"address_purpose": "LOCATION",
"city": "Milton",
"state": "MA",
"postal_code": "02186",
"country_code": "US",
"telephone_number": "617-519-3607",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLIEN",
"first_name": "RYAN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-11",
"last_updated": "2020-01-27",
"certification_date": "2020-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MA",
"license": "3649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.