Individual provider Active NPI

Patrick Trent Ryan, D.C.

  • Neurology Chiropractor
  • Wilmington, DE
National Provider Identifier
1881774792
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
F1-0000443 Issued in DE
Practice address
6 Sharpley Rd
Wilmington, DE 19803-2941
Phone
(302) 778-0100
Fax
(302) 652-1116
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Chiropractor 111NN0400X F1-0000443 DE Primary

Addresses

Primary practice location

6 Sharpley Rd
Wilmington, DE 19803-2941

Mailing address

6 Sharpley Rd
Wilmington, DE 19803-2941
Phone (302) 778-0100

Other identifiers 5

IdentifierTypeStateIssuer
000516521OtherDEAETNA
2053546000OtherDEAMERIHEALTH
6469570001OtherDEPTAN
510381CHIOtherDEBLUE CROSS
2255615000OtherDEKEYSTONE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120430000493 DE Practitioner - Chiropractic 8820287956 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F1-0000443DEMDNeurology Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Medical Care LLC Neurology CurrentSince Oct 1, 2001 Accepting new patients
Wellness Medical LLC Neurology Current Accepting new patients

Locations

6 Sharpley Rd
Wilmington, DE 19803
Phone (302) 652-0411

Organizations & group practices 2

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1881774792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SHARPLEY RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032941",
            "telephone_number": "302-778-0100",
            "fax_number": "302-652-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 SHARPLEY RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198032941",
            "telephone_number": "302-778-0100",
            "fax_number": "302-652-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "PATRICK",
        "middle_name": "TRENT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "DE",
            "license": "F1-0000443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "000516521",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2053546000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "6469570001",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "510381CHI",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE",
            "identifier": "2255615000",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.