Active NPI
Ryan Michael Goris, D.C.
- Chiropractor
- Kenner, LA
National Provider Identifier
1972932630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1683
- Practice address
- 5532 Janice Ave
Kenner, LA 70065-1540 - Phone
- (504) 232-4304
- NPI assigned
- Nov 4, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1683 | LA | Primary |
Addresses
Primary practice location
5532 Janice Ave
Kenner, LA 70065-1540
Mailing address
5532 Janice Ave
Kenner, LA 70065-1540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2680 Hwy 190
Mandeville, LA 70471
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1683 | LA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beyond Wellness LLC | Chiropractor | Current | Accepting new patients |
Locations
2680 Highway 190
Mandeville, LA 70471
Phone (985) 789-7003
Organizations & group practices 1
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.
-
- Chiropractor
- Mandeville, LA
- NPI 1881540862
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383523200000",
"number": "1972932630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5532 JANICE AVE",
"city": "KENNER",
"state": "LA",
"postal_code": "700651540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5532 JANICE AVE",
"city": "KENNER",
"state": "LA",
"postal_code": "700651540",
"telephone_number": "504-232-4304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GORIS",
"first_name": "RYAN",
"middle_name": "MICHAEL",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-04",
"last_updated": "2013-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "LA",
"license": "1683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenner, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.