Ryan Walton Wade, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

7113 Issued in AZ

Practice address

5341 S Superstition Mountain Dr
Suite D101
Gold Canyon, AZ 85118-2069

Phone

(480) 983-2249

Fax

(480) 983-1541

NPI assigned

Aug 2, 2006

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.

• Ocotillo Chiropractic Center PC

  • Chiropractor
  • Chandler, AZ
  • NPI 1477764868
  NPD (past)

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479427200000",
    "number": "1902813074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5341 S SUPERSTITION MOUNTAIN DR",
            "address_2": "STE D101",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851182069",
            "telephone_number": "480-983-2249",
            "fax_number": "480-983-1541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5341 S SUPERSTITION MOUNTAIN DR",
            "address_2": "SUITE D101",
            "city": "GOLD CANYON",
            "state": "AZ",
            "postal_code": "851182069",
            "telephone_number": "480-983-2249",
            "fax_number": "480-983-1541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADE",
        "first_name": "RYAN",
        "middle_name": "WALTON",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2016-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "7113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Triad Pain Management Group, PLLC
• William Duffy Troutt, NMD
• Disha Vasoya
• Virginia S Rowland MD PC
• Vitality Physical Therapy and Wellness, Inc
• Linda Anne Wahby, M.D.
• Christine Waite, MBA, RDN
• Walgreen Co
• Walgreens
• Molly Wallace

• Chiropractor in Gold Canyon, AZ
• Providers in Gold Canyon, AZ by specialty
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; 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.