Individual provider Active NPI

Ryan Craig Diener, LAC, DIPL. CH

  • Acupuncturist
  • Frederick, MD
National Provider Identifier
1881873230
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
UO1332 Issued in MD
Practice address
315 W Patrick St
Frederick, MD 21701-4855
Phone
(301) 620-1414
Fax
(703) 814-8697
NPI assigned
Nov 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X UO1332 MD Primary

Addresses

Primary practice location

315 W Patrick St
Frederick, MD 21701-4855

Mailing address

315 W Patrick St
Frederick, MD 21701-4855
Phone (301) 620-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
UO1332MDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Boonsboro Wellness Center, Inc. Acupuncturist Past Accepting new patients
Holistic Health Associates Acupuncturist Past Accepting new patients

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": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1881873230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014855",
            "telephone_number": "301-620-1414",
            "fax_number": "703-814-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014855",
            "telephone_number": "301-620-1414",
            "fax_number": "703-814-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIENER",
        "first_name": "RYAN",
        "middle_name": "CRAIG",
        "credential": "LAC, DIPL. CH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MD",
            "license": "UO1332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.