Individual provider Active NPI

Andrew Ramos, DC, CACCP

  • Chiropractor
  • Mansfield, MO
National Provider Identifier
1114496049
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2021046665 Issued in MO
Practice address
106 E Park SQ Ste a
Mansfield, MO 65704-8551
Phone
(417) 554-2663
NPI assigned
Nov 20, 2018
Last updated
Dec 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2021046665 MO Primary

Addresses

Primary practice location

106 E Park SQ Ste a
Mansfield, MO 65704-8551

Mailing address

PO Box 483
Mansfield, MO 65704-0483
Phone (417) 554-4176

Other practice location 1

604 Williams Blvd Ste A
Richland, WA 99354-3207
Phone (509) 946-0631

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230509002771 MO Practitioner - Chiropractic 8426395658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

106 E Park SQ
Suite a
Mansfield, MO 65704-8551
Phone (417) 554-2663

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2021046665MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Chiropractor, LLC Chiropractor CurrentSince Oct 17, 2022 Accepting new patients

Locations

106 E Park Sq
Ste A
Mansfield, MO 65704
Phone (417) 554-2663

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": "1542672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1114496049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 483",
            "city": "MANSFIELD",
            "state": "MO",
            "postal_code": "657040483",
            "telephone_number": "417-554-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 E PARK SQ STE A",
            "city": "MANSFIELD",
            "state": "MO",
            "postal_code": "657048551",
            "telephone_number": "417-554-2663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "604 Williams Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993543207",
            "country_code": "US",
            "telephone_number": "509-946-0631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAMOS",
        "first_name": "ANDREW",
        "credential": "DC, CACCP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-20",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2021046665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.