Individual provider Active NPI

Ryan David Schleisman, D.C.

  • Chiropractor
  • Fort Collins, CO
National Provider Identifier
1912911546
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5439 Issued in CO
Practice address
4745 Boardwalk Dr Unit C1
Fort Collins, CO 80525-3769
Phone
(970) 207-4066
Fax
(970) 225-1392
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5439 CO Primary

Addresses

Primary practice location

4745 Boardwalk Dr Unit C1
Fort Collins, CO 80525-3769

Mailing address

4745 Boardwalk Dr Unit C1
Fort Collins, CO 80525-3769
Phone (970) 207-4066

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071025000650 CO Practitioner - Chiropractic 4981791704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4745 Boardwalk Dr
Unit C1
Fort Collins, CO 80525-3769
Phone (976) 207-4066

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5439COMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Schleisman Chiropractic LLC Chiropractor CurrentSince Jan 1, 2008 Accepting new patients
Elevation Medical, Inc. PastSince Jul 1, 2016 Accepting new patients

Locations

4745 Boardwalk Dr
Unit C1
Fort Collins, CO 80525
Phone (970) 207-4066

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912911546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4745 BOARDWALK DR UNIT C1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253769",
            "telephone_number": "970-207-4066",
            "fax_number": "970-225-1392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 BOARDWALK DR UNIT C1",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805253769",
            "telephone_number": "970-207-4066",
            "fax_number": "970-225-1392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLEISMAN",
        "first_name": "RYAN",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "5439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.