Individual provider Active NPI

Ronald Harrell Floyd, D.C.

  • Chiropractor
  • Deer Park, TX
National Provider Identifier
1083773501
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2644 Issued in TX
Practice address
108 W Pasadena Blvd
Deer Park, TX 77536-4870
Phone
(281) 476-0700
Fax
(281) 479-0473
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
2644TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
My Chiropractor LLC CurrentSince Jan 24, 2021 Accepting new patients
Spencer Chiropractic Inc Chiropractor Past Accepting new patients

Locations

2312 Calder Dr
Ste A
League City, TX 77573
Phone (281) 724-9114

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2644 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

108 W Pasadena Blvd
Deer Park, TX 77536-4870

Mailing address

PO Box 2041
Friendswood, TX 77549-2041
Phone (281) 224-0492

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
4132297OtherTXAETNA PROVIDER NUMBER
2845087OtherTXCIGNA PROVIDER NUMBER

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 19, 2021.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1083773501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2041",
            "city": "FRIENDSWOOD",
            "state": "TX",
            "postal_code": "775492041",
            "telephone_number": "281-224-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W PASADENA BLVD",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775364870",
            "telephone_number": "281-476-0700",
            "fax_number": "281-479-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOYD",
        "first_name": "RONALD",
        "middle_name": "HARRELL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "4132297",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "2845087",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.