Active NPI
Ryan Roeder, D.C.
- Chiropractor
- Conroe, TX
National Provider Identifier
1144360835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 7050
- Practice address
- 11133 Interstate 45 S Ste 120
Conroe, TX 77302-5839 - Phone
- (936) 944-0988
- NPI assigned
- Feb 8, 2007
- 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 | 7050 | TX | Primary |
Addresses
Primary practice location
11133 Interstate 45 S Ste 120
Conroe, TX 77302-5839
Mailing address
599 Hampton Hall LN
Conroe, TX 77302-3109
Phone (713) 823-1465
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7050 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697673600000",
"number": "1144360835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "599 HAMPTON HALL LN",
"city": "CONROE",
"state": "TX",
"postal_code": "773023109",
"telephone_number": "713-823-1465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11133 INTERSTATE 45 S STE 120",
"city": "CONROE",
"state": "TX",
"postal_code": "773025839",
"telephone_number": "936-944-0988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROEDER",
"first_name": "RYAN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-08",
"last_updated": "2023-10-19",
"certification_date": "2023-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "7050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.