Paul W Ryan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X006102-1 Issued in NY

Practice address

2374 Mound Rd
Rte 414
Waterloo, NY 13165

Phone

(315) 539-3262

Fax

(315) 539-5221

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ryan Chiropractic PLLCGroup PAC ID 1254413388, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ryan Chiropractic PLLC

  • Chiropractor
  • Waterloo, NY
  • NPI 1528134178
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1992725295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 664",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "131650664",
            "telephone_number": "315-539-3262",
            "fax_number": "315-539-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2374 MOUND RD",
            "address_2": "RTE 414",
            "city": "WATERLOO",
            "state": "NY",
            "postal_code": "13165",
            "telephone_number": "315-539-3262",
            "fax_number": "315-539-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "PAUL",
        "middle_name": "W",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006102-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE",
            "identifier": "101869AN",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lera Rose, RN
• Lynn Mary Rotz, CRPA-P
• Elisabeth Rouse
• Ryan Chiropractic PLLC
• Christopher P Ryan, DC
• S R Ahmad, Inc.
• Mary Ann Schwittek, RN
• Seneca Cayuga Counties Chapter Nysarc, Inc.
• Seneca County Addictions Program
• Seneca County Health Department

• Chiropractor in Waterloo, NY
• Providers in Waterloo, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.