NPIMap

Organization Active NPI

Ryan K. Van Matre, DC, Inc.

  • Rehabilitation Chiropractor
  • Carmel, IN
National Provider Identifier
1841455367
Registry record updated Jul 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
08001984A Issued in IN
Legal business name
RYAN K. VAN MATRE, DC, INC.
Practice address
755 W Carmel Dr
Suite 211
Carmel, IN 46032-5877
Phone
(317) 817-9900
Fax
(317) 817-9903
NPI assigned
Jul 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2008

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

Authorized official

Name
Dr. Ryan Karl Van Matre, D.C.NPI 1720014541
Title
President/Owner
Phone
(317) 817-9900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NR0400X 08001984A IN Primary

Addresses

Primary practice location

755 W Carmel Dr
Suite 211
Carmel, IN 46032-5877

Mailing address

755 W Carmel Dr
Suite 211
Carmel, IN 46032-5877
Phone (317) 817-9900

Other names 1

  • Indy Spine and Rehab, P.C. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090224000061 IN Part B Supplier - Clinic/Group Practice 7911939921 Receives reassigned benefits from 6 practitioners
Practice locations: Carmel, IN

National Provider Directory

National Provider Directory

Locations

718 Adams St
Ste D
Carmel, IN 46032
Phone (317) 763-2520

315 W Main St
Delphi, IN 46923
Phone (765) 564-1900

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1216857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1841455367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 W CARMEL DR",
            "address_2": "SUITE 211",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325877",
            "telephone_number": "317-817-9900",
            "fax_number": "317-817-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 W CARMEL DR",
            "address_2": "SUITE 211",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460325877",
            "telephone_number": "317-817-9900",
            "fax_number": "317-817-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN K. VAN MATRE, DC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-24",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "VAN MATRE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "KARL",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "317-817-9900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IN",
            "license": "08001984A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indy Spine and Rehab, P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carmel, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.