Organization Active NPI

Ryan Martin Chiropractic LLC

  • Chiropractor
  • Kearney, NE
National Provider Identifier
1922471325
Registry record updated Nov 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1862 Issued in NE
Legal business name
RYAN MARTIN CHIROPRACTIC LLC
Practice address
317 W 11TH St
Kearney, NE 68845-7331
Phone
(308) 698-0525
NPI assigned
Nov 6, 2015
Last updated
Nov 6, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2015

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

Authorized official

Name
Ryan Timothy Martin, D.C.NPI 1467825372
Title
President
Phone
(308) 440-7959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1862 NE Primary

Addresses

Primary practice location

317 W 11TH St
Kearney, NE 68845-7331

Mailing address

317 W 11TH St
Kearney, NE 68845-7331
Phone (308) 698-0525

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151118001259 NE Part B Supplier - Clinic/Group Practice 9133429459 Receives reassigned benefits from 1 practitioner
Practice locations: Arapahoe, NE; Kearney, NE

National Provider Directory

National Provider Directory

Locations

701 Nebraska Ave
Arapahoe, NE 68922
Phone (308) 962-5522

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1922471325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 W 11TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688457331",
            "telephone_number": "308-698-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W 11TH ST",
            "city": "KEARNEY",
            "state": "NE",
            "postal_code": "688457331",
            "telephone_number": "308-698-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN MARTIN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "308-440-7959",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearney, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; 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.