DR. DANIEL BEAU RYAN ELLIS (NPI# 1215297536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215297536 |
| Entity Type | Individual |
| Full Name | DR. DANIEL BEAU RYAN ELLIS |
| Credential | D.C. |
| Practice Address |
9 125 Lane Nw Coon Rapids MN 55448 |
| Mailing Address |
9125 Lane Nw Coon Rapids MN 55448 |
| Practice Telephone | 6128606832 |
| Mailing Telephone | 6128606832 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 27750 | CA | Chiropractic Providers |
| N | 111N00000X | Chiropractor | 3526 | MN | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760893705 | Daniel Alexander Ellis | Occupational Therapy Assistant | 801 N. Hamilton St., Williamston, SC 29697 | 2014-05-13 |
| 1174886220 | Daniel Adam Ellis | Technician/Technologist | N. 1804 Washington, Ye Olde Optical Shoppe, Spokane, WA 99205-4757 | 2012-06-22 |
| 1366077240 | Daniel Ellis | Physician Assistant | 3050 E River Bluff Blvd, Ozark, MO 65721-8807 | 2020-03-11 |
| 1235588286 | Daniel K Ellis | Family Medicine | 608 Nw 9th St, Ste 1000, Oklahoma City, OK 73102 | 2016-06-10 |
| 1578922753 | Daniel Ellis | Registered Nurse | 5665 Hoover Rd, Grove City, OH 43123 | 2016-02-17 |
| 1063893881 | Daniel Preston Ellis | Physical Therapist | 680 Ivy St, Junction City, OR 97448-1636 | 2015-06-17 |
| 1982090577 | Daniel James Ellis | Internal Medicine | 1514 Jefferson Hwy, Jefferson, LA 70121-2483 | 2015-04-09 |
| 1740538065 | Daniel Ellis | Counselor | 323 W Mulberry St, Watseka, IL 60970-1568 | 2012-08-16 |
| 1962635060 | Daniel William Ellis | Counselor | 1736 E Sunshine St, Plaza Towers Suite 811, Springfield, MO 65804-1343 | 2009-08-24 |
| 1568628394 | Daniel Ray Ellis | Nurse Anesthetist, Certified Registered | 501 20th St, Suite 606, Knoxville, TN 37916-1809 | 2008-07-31 |
| Street Address |
9 125 LANE NW |
| City | COON RAPIDS |
| State | MN |
| Zip Code | 55448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447741152 | Modern Sisters Home Healthcare | Home Health | 1852 131st Ln Nw, Coon Rapids, MN 55448 | 2018-05-29 |
| 1003345463 | Sarah Benepe | Occupational Therapy Assistant | 764 107th Ln Nw, Coon Rapids, MN 55448 | 2017-06-08 |
| 1700310299 | Orthodontics Specialist of Minnesota P.l.l.c. | Dentist | 3360 Northdale Blvd Nw, Coon Rapids, MN 55448 | 2017-04-12 |
| 1528459906 | Shane R Fisher | Registered Nurse | 10077 Dogwood St. Nw, Suite 110, Minneapolis, MN 55448 | 2015-02-06 |
| 1912395419 | Mn Dentistry, PC | Dentist | 3570 River Rapids Drive Nw, Ste 110, Coor Rapids, MN 55448 | 2015-01-06 |
| 1306142344 | At Home Health Care Inc. | Home Health | 1601 128th Lane Nw, Coon Rapids, MN 55448 | 2011-02-09 |
| 1245428317 | Cassandra Joice Carney | Massage Therapist | 8770 Springbrook Dr Nw, Coon Rapids, MN 55448 | 2007-10-14 |
| 1982826434 | Merry Heart Home Care Inc | Home Health | 3248 131st Avenue Nw, Coon Rapids, MN 55448 | 2007-05-03 |
| 1659416196 | James T Sturm | Emergency Medicine | 10160 Foley Blvd Nw Ste 120, Coon Rapids, MN 55448 | 2007-02-21 |
| 1710052691 | Thomas W. Anderson | Dentist | 11237 Foley Blvd. Nw, Coon Rapids, MN 55448 | 2006-11-23 |
| Find all providers in zip 55448 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063054302 | Moe Chiro Tres Pllc | Chiropractor | 1835 Gateway Dr Ste 104, Coon Rapids, MN 55448-4513 | 2019-10-08 |
| 1669840567 | Due North Wellness Center Pllc | Chiropractor | 1820 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4755 | 2015-09-09 |
| 1215329362 | Ryan W. Nolte, D.c., P.a. | Chiropractor | 199 Coon Rapids Blvd Nw Ste 315, Coon Rapids, MN 55433-5861 | 2015-02-26 |
| 1184015083 | Sarah Elizabeth Thon Haggbloom | Chiropractor | 11417 Hanson Blvd Nw Ste 101, Coon Rapids, MN 55433 | 2015-02-12 |
| 1134526502 | Riley Sowle | Chiropractor | 1835 Gateway Dr., Suite 104, Coon Rapids, MN 55448-1469 | 2014-12-01 |
| 1609270206 | Barton Stark | Chiropractor | 10006 University Ave Nw, Coon Rapids, MN 55448-6138 | 2014-10-10 |
| 1073915732 | Premier Health of Coon Rapids, Inc | Chiropractor | 3340 Northdale Blvd Nw, Suite 120, Coon Rapids, MN 55448-1622 | 2014-09-24 |
| 1386068658 | Kelsey Lyn Erickson-chmiel | Chiropractor | 3340 Northdale Blvd Nw Ste 120, Coon Rapids, MN 55448-1622 | 2014-02-07 |
| 1841560109 | Dillon Robert Sletten | Chiropractor | 9920 Foley Blvd Nw Suite 140, Coon Rapids, MN 55433 | 2012-01-04 |
| 1689807760 | Lewis Chiropractic PC | Chiropractor | 120 6th Ave, Coon Rapids, IA 50058 | 2009-08-24 |
| Find all providers in COON RAPIDS | ||||
| City | COON RAPIDS |
| Zip Code | 55448 |
Please comment or provide details below to improve the information on DR. DANIEL BEAU RYAN ELLIS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.