Ryan L. Villwok, D.C, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1638 Issued in NE

Legal business name

RYAN L. VILLWOK, D.C, P.C.

Practice address

12313 Gold St
Omaha, NE 68144-2760

Phone

(402) 334-1200

Fax

(402) 334-0998

NPI assigned

Dec 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ryan L Villwok, D.C.NPI 1972811560

Title

President

Phone

(402) 720-5642

Specialties & licenses 1

Addresses

Other names 1

• Nelson Chiropractic & Active Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ryan Lyle Villwok, D.C.

  • Chiropractor
  • Omaha, NE
  • NPI 1972811560
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1972805521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12313 GOLD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442760",
            "telephone_number": "402-334-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12313 GOLD ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442760",
            "telephone_number": "402-334-1200",
            "fax_number": "402-334-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RYAN L. VILLWOK, D.C, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2012-02-14",
        "status": "A",
        "authorized_official_last_name": "VILLWOK",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-720-5642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NE",
            "license": "1638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nelson Chiropractic & Active Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marisa J Ruwe, MGC, CGC
• Riley Ruzicka
• Deborah Rwiyamirira
• Ryan Evans Counseling, LLC
• Ann Marie Ryan Haddad, PHARM.D.
• Ryan Moseley
• Chelsea Ryan-Wilson
• Shaylyn Ryan-Wright
• Andrea Ryan, CRNA
• Casaundra L Ryan

• Chiropractor in Omaha, NE
• Providers in Omaha, NE by specialty
• Chiropractor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; 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.