Organization Active NPI

Ryan J Mayeda LLC

  • Chiropractor
  • Greeley, CO
National Provider Identifier
1912489600
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5906 Issued in CO
Legal business name
RYAN J MAYEDA LLC
Practice address
4625 W 20TH St Unit 109
Greeley, CO 80634-3208
Phone
(970) 673-7879
NPI assigned
Aug 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Authorized official

Name
Ryan Mayeda, DC RD
Title
Owner
Phone
(970) 673-7879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5906 CO Primary

Addresses

Primary practice location

4625 W 20TH St Unit 109
Greeley, CO 80634-3208

Mailing address

4625 W 20TH St Unit 109
Greeley, CO 80634-3208
Phone (970) 673-7879

National Provider Directory

National Provider Directory

Locations

4625 W 20th St
Unit 109
Greeley, CO 80634
Phone (970) 673-7879

NPI Registry JSON

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

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1912489600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 W 20TH ST UNIT 109",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343208",
            "telephone_number": "970-673-7879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 W 20TH ST UNIT 109",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806343208",
            "telephone_number": "970-673-7879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN J MAYEDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "MAYEDA",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-673-7879",
        "authorized_official_credential": "DC RD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; 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.