Individual provider Active NPI

Ryan Thomas Tarry, DC

  • Chiropractor
  • Lenexa, KS
National Provider Identifier
1104576453
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
01-06185 Issued in KS
Practice address
13000 W 87TH Street Pkwy Ste 105
Lenexa, KS 66215-2879
Phone
(913) 400-2014
NPI assigned
Mar 28, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-06185 KS Primary

Addresses

Primary practice location

13000 W 87TH Street Pkwy Ste 105
Lenexa, KS 66215-2879

Mailing address

13000 W 87TH Street Pkwy Ste 105
Lenexa, KS 66215-2879
Phone (913) 400-2014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220405000912 KS Practitioner - Chiropractic 2163818915 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01-06185KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Tarry Chiropractic LLC Chiropractor CurrentSince Apr 1, 2024 Accepting new patients

Locations

13000 W 87th Street Pkwy
Ste 105
Lenexa, KS 66215
Phone (913) 400-2014

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1104576453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 W 87TH STREET PKWY STE 105",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662152879",
            "telephone_number": "913-400-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 W 87TH STREET PKWY STE 105",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662152879",
            "telephone_number": "913-400-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARRY",
        "first_name": "RYAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-28",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-06185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.