Ryan Michael Faulkner, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2013018389 Issued in MO

Practice address

6251 Ronald Reagan Dr
Lake St Louis, MO 63367-2665

Phone

(636) 614-2139

NPI assigned

Sep 19, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hawk Ridge Family Chiropractic LLC

  • Chiropractor
  • Warrenton, MO
  • NPI 1457660060
  NPD (past)

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

{
    "created_epoch": "1379548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1881020006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SHIPLEY CT",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633033024",
            "telephone_number": "314-330-0626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6251 RONALD REAGAN DR",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633672665",
            "telephone_number": "636-614-2139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2013018389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordyn Elaine Dolan, MS CCC-SLP
• Brittany Dukes, MD
• Dva Healthcare Renal Care Inc
• Paige Courtney Enke, MSW
• Faith and Hope Counseling Services, LLC
• Ember Figgins, PHARM.D.
• Jill Renee Flores, WHNP-BC
• Forest Physician Services, LLP
• Karyn L. Fowler, M.D.
• Sarah K Freund, MPT

• Chiropractor in Lake St Louis, MO
• Providers in Lake St Louis, MO by specialty
• Chiropractor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.