Individual provider Active NPI

Ryan Dean Butts, D.C.

  • Chiropractor
  • Marysville, OH
National Provider Identifier
1891230611
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4678 Issued in OH
Practice address
232 N Main St Ste D
Marysville, OH 43040-1100
Phone
(937) 670-2545
NPI assigned
Jan 3, 2017
Last updated
Nov 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4678 OH Primary

Addresses

Primary practice location

232 N Main St Ste D
Marysville, OH 43040-1100

Mailing address

232 N Main St Ste D
Marysville, OH 43040-1100
Phone (937) 670-2545

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170206002673 OH Practitioner - Chiropractic 4183907728 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4678OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Chiropractic Co LLC Chiropractor CurrentSince Aug 21, 2017 Accepting new patients

Locations

1580 King Ave
Ste 204
Columbus, OH 43212
Phone (614) 488-6820

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699920000000",
    "number": "1891230611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 N MAIN ST STE D",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401100",
            "telephone_number": "937-670-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 N MAIN ST STE D",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430401100",
            "telephone_number": "937-670-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTS",
        "first_name": "RYAN",
        "middle_name": "DEAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-03",
        "last_updated": "2023-11-14",
        "certification_date": "2023-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2023; 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.