Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ryan Dennis Gustafson, DC

Individual provider Chiropractor · NPI 1407938798

Dr. Ryan Dennis Gustafson, DC is a Chiropractic in Kingman, Arizona. Qualified in 2001, 25 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
25
Licensed in
AZ
In the registry since
2006
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

1910 Lucille Ave Ste 1
Kingman, AZ 86401-4693
Phone: (928) 753-2047
Fax: (928) 753-2020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 7156 (AZ)

Record details

NPI number1407938798
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedOctober 19, 2006
Last updated in NPPESJuly 8, 2007
Mailing address1910 Lucille Ave, Suite 1, Kingman, AZ 86401-4693

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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