Ryan Nichols, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5666-12 Issued in WI

Practice address

111 N Main St Ste 100
Janesville, WI 53545-3072

Phone

(608) 754-8977

NPI assigned

Jun 29, 2021

Last updated

Jun 29, 2021By the provider in NPPES

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

Enrolled in WI

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ryan.nichols.1@15975.direct.athenahealth.com

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.

• Riversedge Chiropractic, LLC

  dba Paull Chiropractic at Riversedge

  • Sports Physician Chiropractor
  • Janesville, WI
  • NPI 1285058966
  Medicare reassignment NPD
• Georgien Dudzek, Psy.D. LLC

  dba Synapse Solutions

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Janesville, WI
  • NPI 1124746649
  NPD
• Honeylotus, LLC

  • Professional Counselor
  • Janesville, WI
  • NPI 1831924976
  NPD (past)

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624924800000",
    "number": "1912577396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5561 DANIEL DR",
            "city": "SOUTH BELOIT",
            "state": "IL",
            "postal_code": "610802370",
            "telephone_number": "815-494-9980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N MAIN ST STE 100",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535453072",
            "telephone_number": "608-754-8977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5666-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman R Newcomb, MD
• Dorothy Newmark, MD
• Hung Nguyen
• Karl A Nibbelink, MD
• Jeffrey R. Nichols, DO
• Alfred C Nicolosi, MD
• Brandon James Niebuhr
• David Nilsen, D.O.
• Sheila Kay Nitz, LPN
• Todd Allen Noggle, MS, LPC, NCC, LCPC

• Chiropractor in Janesville, WI
• Providers in Janesville, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.