Active NPI
Ryan D De Rosales, DC
- Chiropractor
- Toledo, OH
National Provider Identifier
1992479091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC-05384
- Practice address
- 2735 N Holland Sylvania Rd Ste B1
Toledo, OH 43615-1844 - Phone
- (419) 930-6607
- Fax
- (419) 517-4076
- NPI assigned
- Aug 3, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 038.013749 | IL | |
| Chiropractor | 111N00000X | DC-05384 | OH | Primary |
Addresses
Primary practice location
2735 N Holland Sylvania Rd Ste B1
Toledo, OH 43615-1844
Mailing address
2735 N Holland Sylvania Rd Ste B1
Toledo, OH 43615-1844
Phone (419) 930-6607
Other practice location 1
1010 Harlem Rd
Machesney Park, IL 61115-2518
Phone (815) 654-1044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 038.013749 | IL | MD | Chiropractor |
| DC-05384 | OH | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prime Chiropractic Center, LLC | Chiropractor | Current | Accepting new patients |
| Martin J Adams DC PC Inc | Chiropractor | Past | Accepting new patients |
| James P. Hulsebus | Chiropractor | Past | Accepting new patients |
Locations
2735 N Holland Sylvania Rd
Ste B1
Toledo, OH 43615
Phone (419) 531-7818
Organizations & group practices 3
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
- Toledo, OH
- NPI 1841019551
-
- Chiropractor
- Toledo, OH
- NPI 1427387018
-
- Chiropractor
- Machesney Park, IL
- NPI 1972785418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1992479091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2735 N HOLLAND SYLVANIA RD STE B1",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436151844",
"telephone_number": "419-930-6607",
"fax_number": "419-517-4076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2735 N HOLLAND SYLVANIA RD STE B1",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436151844",
"telephone_number": "419-930-6607",
"fax_number": "419-517-4076"
}
],
"practiceLocations": [
{
"address_1": "1010 Harlem Rd",
"address_purpose": "LOCATION",
"city": "Machesney Park",
"state": "IL",
"postal_code": "611152518",
"country_code": "US",
"telephone_number": "815-654-1044",
"fax_number": "815-639-3529",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE ROSALES",
"first_name": "RYAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-03",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IL",
"license": "038.013749",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "DC-05384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.