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DR. RYAN DENNIS GUSTAFSON D.C.
NPI 1407938798
Chiropractor in Kingman, AZ

Active since October 19, 2006Accepts Medicare Assignment
1910 LUCILLE AVE, SUITE 1, KINGMAN, AZ 86401(928) 753-2047(928) 753-2020 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ryan Dennis Gustafson D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RYAN DENNIS GUSTAFSON D.C. (NPI 1407938798) is an individual chiropractor in Kingman, Arizona, licensed in Arizona (7156) and active in the NPI registry since October 2006. He is a graduate of Other (2001).

NPPES Registry Identity

NPI1407938798
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. RYAN DENNIS GUSTAFSONCredential: D.C.
Location Address1910 LUCILLE AVE, SUITE 1Kingman, AZ 86401-4693
Mailing Address1910 Lucille Ave, Suite 1Kingman, AZ 86401-4693 · (928) 753-2047 · Fax (928) 753-2020
Phone(928) 753-2047
Fax(928) 753-2020
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateOctober 19, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407938798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in AZ · 7156
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
1910 LUCILLE AVE, Kingman, AZ 86401
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Other Identifiers 8

Other5291063AZ · Ccn/first Health
OtherAZ0937240AZ · Bc/bs Of Az
Other3142303AZ · Aetna
Medicaid692659AZ
Other1212439CA · Chirosource Of Ca.
Other1Z5906AZ · Health Net
Other229944AZ · Ap/ipa (ahcccs)
Medicare UPINU87611AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ryan Dennis Gustafson D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153340682
PECOS Enrollment IDI20051115000081

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
1,584 services125 patients
Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
1,398 services60 patients

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KINGMAN CHIROPRACTIC CLINIC PC
Chiropractor
1910 LUCILLE AVE
KINGMAN, AZ 86401
Mohave County (928) 753-2047
MISS MELINDA DAWN WALKER LMT
Massage Therapist
1910 LUCILLE AVE, SUITE #3
KINGMAN, AZ 86401
Mohave County (928) 692-5999
DR. LAURA JOY GUSTAFSON D.C.
Chiropractor
1910 LUCILLE AVE
KINGMAN, AZ 86401
Mohave County (928) 753-2047

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Gustafson's NPI number?

The NPI number for Ryan Gustafson is 1407938798. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Ryan Gustafson located?

Ryan Gustafson practices at 1910 Lucille Ave Suite 1, Kingman, AZ 86401. The listed phone number is (928) 753-2047.

What is Ryan Gustafson's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Ryan Gustafson enrolled in Medicare?

Yes. Ryan Gustafson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ryan Gustafson accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Medica and Providence Health Plan and 1 other insurer list Ryan Gustafson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ryan Gustafson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.