DR. RANDOLPH RAYMOND RYAN D.C.
NPI 1780643452
Chiropractor in Melbourne, FL

Active since March 21, 2006Accepts Medicare Assignment
21 W. FEE AVE., SUITE A, MELBOURNE, FL 32901(321) 723-5015(321) 723-7389 Get Directions Write a Review

NPPES record last updated: January 7, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Randolph Raymond Ryan D.c. NPPES

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

DR. RANDOLPH RAYMOND RYAN D.C. (NPI 1780643452) is an individual chiropractor in Melbourne, Florida, licensed in Florida (CH0005773) and active in the NPI registry since March 2006. He is a graduate of National College Of Chiropractic (1987).

NPPES Registry Identity

NPI1780643452
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. RANDOLPH RAYMOND RYANCredential: D.C.
Location Address21 W. FEE AVE., SUITE AMelbourne, FL 32901
Mailing Address21 W. Fee Ave., Suite AMelbourne, FL 32901 · (321) 723-5015 · Fax (321) 723-7389
Fax(321) 723-7389
Sole ProprietorYes
Medical School CMSNational College Of ChiropracticGraduated 1987
Enumeration DateMarch 21, 2006
Last NPPES UpdateJanuary 7, 2016
NPI 1780643452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in FL · CH0005773
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.
21 W. FEE AVE., Melbourne, FL 32901

Other Identifiers 3

Medicaid050580300FL
Medicare PIN22253FL
Medicare UPINT85318

Accepted 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. Randolph Raymond Ryan 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 ID6406002237
PECOS Enrollment IDI20120810000443

Areas of Expertise CMS Part B claims

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, 5 spinal regions 98942
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.
464 services39 patients

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 Randolph Ryan's NPI number?

The NPI number for Randolph Ryan is 1780643452. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Randolph Ryan located?

Randolph Ryan practices at 21 W. Fee Ave. Suite A, Melbourne, FL 32901. The listed phone number is (321) 723-5015.

What is Randolph Ryan's specialty?

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

Is Randolph Ryan enrolled in Medicare?

Yes. Randolph Ryan 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 Randolph Ryan accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Providence Health Plan and Wellpoint list Randolph Ryan 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 Randolph Ryan was last updated on January 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.