Individual provider Active NPI

Ryan Herold, D.C.

  • Chiropractor
  • Livingston, MT
National Provider Identifier
1881094233
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
8050 Issued in MT
Practice address
1201 US Highway 10 W Ste C
Livingston, MT 59047-9022
Phone
(406) 222-4444
NPI assigned
Sep 3, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1723 LA
Chiropractor 111N00000X 8050 MT Primary

Addresses

Primary practice location

1201 US Highway 10 W Ste C
Livingston, MT 59047-9022

Mailing address

1201 US Highway 10 W Ste C
Livingston, MT 59047-9022
Phone (406) 222-4444

Other practice location 1

5419 Jackson Street Suite B
Alexandria, LA 71303
Phone (318) 787-2708

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240220000890 MT Practitioner - Chiropractic 1153745716 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1201 US Hwy 10 W
Suite C
Livingston, MT 59047-9022
Phone (406) 222-4444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1723LAMDChiropractor
8050MTMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nohl P.C. CurrentSince Oct 22, 2023 Accepting new patients
Ryan Herold P.C. Chiropractor CurrentSince Dec 24, 2023 Accepting new patients
Mayfield Advanced Medical, LLC PastSince Jul 13, 2018 Accepting new patients

Locations

1201 US Highway 10 W
Ste C
Livingston, MT 59047
Phone (406) 222-4444

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1881094233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 US HIGHWAY 10 W STE C",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590479022",
            "telephone_number": "406-222-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 US HIGHWAY 10 W STE C",
            "city": "LIVINGSTON",
            "state": "MT",
            "postal_code": "590479022",
            "telephone_number": "406-222-4444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5419 Jackson Street Suite B",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "LA",
            "postal_code": "71303",
            "country_code": "US",
            "telephone_number": "318-787-2708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEROLD",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-03",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1723",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "8050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; 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.

Verify at the official NPI Registry.