Active NPI
Michael Ryan Phillips, DC
- Chiropractor
- Rowlett, TX
National Provider Identifier
1114494176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 13947
- Practice address
- 3538 Lakeview Pkwy Ste 100
Rowlett, TX 75088-4090 - Phone
- (972) 412-4442
- NPI assigned
- Oct 29, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 13947 | TX | Primary |
Addresses
Primary practice location
3538 Lakeview Pkwy Ste 100
Rowlett, TX 75088-4090
Mailing address
120 W Cityline Dr Apt 1056
Richardson, TX 75082-3297
Phone (817) 800-8623
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 |
|---|---|---|---|
| 13947 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540771200000",
"number": "1114494176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W CITYLINE DR APT 1056",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750823297",
"telephone_number": "817-800-8623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3538 LAKEVIEW PKWY STE 100",
"city": "ROWLETT",
"state": "TX",
"postal_code": "750884090",
"telephone_number": "972-412-4442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "MICHAEL",
"middle_name": "RYAN",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-10-29",
"last_updated": "2018-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "13947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rowlett, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.