Individual provider Active NPI

Ryan Francis Dunphy, D.C.

  • Chiropractor
  • Janesville, WI
National Provider Identifier
1912244765
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4907-12 Issued in WI
Practice address
2025 Humes Road
Janesville, WI 53545-0275
Phone
(608) 754-0148
Fax
(608) 754-0217
NPI assigned
Jan 14, 2013
Last updated
Jan 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4907-12 WI Primary

Addresses

Primary practice location

2025 Humes Road
Janesville, WI 53545-0275

Mailing address

2025 Humes Road
Janesville, WI 53545-0275
Phone (608) 754-0148

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130321000115 WI Practitioner - Chiropractic 5890930945 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2025 Humes Rd
Janesville, WI 53545-0275
Phone (608) 754-0148

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Badgerland Chiropractic LLC Chiropractor CurrentSince Nov 1, 2013 Accepting new patients
Family Chiropractic Clinic PastSince Mar 19, 2003 Accepting new patients

Locations

2025 Humes Rd
Janesville, WI 53545
Phone (608) 754-0148

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": "1358121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1912244765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 HUMES ROAD",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450275",
            "telephone_number": "608-754-0148",
            "fax_number": "608-754-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 HUMES ROAD",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535450275",
            "telephone_number": "608-754-0148",
            "fax_number": "608-754-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNPHY",
        "first_name": "RYAN",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-14",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4907-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Janesville, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.