Active NPI
Roy Allen Logan, D.C.
- Chiropractor
- Austin, TX
National Provider Identifier
1073520227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 9666
- Practice address
- 11507 N. Lamar Blvd
Suite a
Austin, TX 78753-2691 - Phone
- (512) 215-3256
- NPI assigned
- Aug 1, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 9666 | TX | Primary |
Addresses
Primary practice location
11507 N. Lamar Blvd
Suite a
Austin, TX 78753-2691
Mailing address
151 Flat Boat Cir
Dripping Springs, TX 78620-4481
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 606656 | Other | TX | BCBS PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9666 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Pain PLLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073520227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 FLAT BOAT CIR",
"city": "DRIPPING SPRINGS",
"state": "TX",
"postal_code": "786204481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11507 N. LAMAR BLVD",
"address_2": "SUITE A",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787532691",
"telephone_number": "512-215-3256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGAN",
"first_name": "ROY",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "9666",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "606656",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.