Rylie Medical PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4877 Issued in MN

Legal business name

RYLIE MEDICAL PLLC

Practice address

7275 147TH St W
Suite 104
Apple Valley, MN 55124-7808

Phone

(651) 333-9133

Fax

(651) 560-7013

NPI assigned

Jun 30, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Adam Dunham, D.C.

Title

Clinic Administrator

Phone

(651) 333-9133

Specialties & licenses 2

Addresses

Other names 1

• TimeWise Medical Doing business as

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467244800000",
    "number": "1831540889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7275 147TH ST W",
            "address_2": "SUITE 104",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247808",
            "telephone_number": "651-333-9133",
            "fax_number": "651-560-7013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7275 147TH ST W",
            "address_2": "SUITE 104",
            "city": "APPLE VALLEY",
            "state": "MN",
            "postal_code": "551247808",
            "telephone_number": "651-333-9133",
            "fax_number": "651-560-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYLIE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A",
        "authorized_official_last_name": "DUNHAM",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "651-333-9133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "4877",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MN",
            "license": "44760",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TimeWise Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katie Jane Rubischko, LICSW
• Denae J Ruble, MA LMFT
• Molly Ruggles, PSY.D., L.P.
• Deborah Ruskell, MSTCCCSLP
• Richard James Ryan, DDS
• Alisha Renee Sabouneh, DCM, L.AC.
• Lana Kay Saffert, M.A.
• Albert Salazar, MD
• Sam'S Club Optical
• Yasmin Samatar

• All providers in Apple Valley, MN
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.