Active NPI
Ryan Friel, D.C.
- Chiropractor
- Sycamore, IL
National Provider Identifier
1871952473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 038013481
- Practice address
- 2535 Bethany Rd Ste 100
Sycamore, IL 60178-3126 - Phone
- (815) 517-0826
- NPI assigned
- Feb 11, 2016
- Last updated
- Mar 4, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | IN PROCESS | AL | |
| Chiropractor | 111N00000X | 038013481 | IL | Primary |
Addresses
Primary practice location
2535 Bethany Rd Ste 100
Sycamore, IL 60178-3126
Mailing address
PO Box 21157
Huntsville, AL 35813-5157
Phone (256) 519-3550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2535 Bethany Rd
Suite 100
Sycamore, IL 60178-3126
Phone (815) 517-0826
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IN PROCESS | AL | MD | Chiropractor |
| 038013481 | IL | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proactive Chiropractic & Laser Center, LLC | Current | Accepting new patients |
Locations
2535 Bethany Rd
Ste 100
Sycamore, IL 60178
Phone (815) 517-0826
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.
-
- Rehabilitation Chiropractor
- Sycamore, IL
- NPI 1922633395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1871952473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 21157",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358135157",
"telephone_number": "256-519-3550",
"fax_number": "256-513-4886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2535 BETHANY RD STE 100",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783126",
"telephone_number": "815-517-0826"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEL",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-02-11",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AL",
"license": "IN PROCESS",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038013481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sycamore, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.