Organization Active NPI

Dr. Ray L. Nannis, P.C.

Doing business as Nannis Chiropractic

  • Chiropractor
  • Richardson, TX
National Provider Identifier
1184917403
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6733 Issued in TX
Legal business name
DR. RAY L. NANNIS, P.C.
Doing business as
Nannis Chiropractic
Practice address
1750 N Collins Blvd Ste 101B
Richardson, TX 75080-3551
Phone
(972) 671-2225
Fax
(972) 671-2226
NPI assigned
May 19, 2011
Last updated
Jul 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Authorized official

Name
Dr. Ray L Nannis, DCNPI 1619028958
Title
Owner
Phone
(972) 671-2225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 6733 TX Primary

Addresses

Primary practice location

1750 N Collins Blvd Ste 101B
Richardson, TX 75080-3551

Mailing address

1750 N Collins Blvd Ste 101B
Richardson, TX 75080-3551
Phone (972) 671-2225

Other names 1

  • Nannis Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110601000356 TX Part B Supplier - Clinic/Group Practice 9739366600 Receives reassigned benefits from 1 practitioner
Practice locations: Richardson, TX

National Provider Directory

National Provider Directory

Locations

1600 N Plano Rd
Ste 1000
Richardson, TX 75081
Phone (972) 671-2225

1750 N Collins Blvd
Ste 101B
Richardson, TX 75080
Phone (972) 671-2225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1184917403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 N COLLINS BLVD STE 101B",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803551",
            "telephone_number": "972-671-2225",
            "fax_number": "972-671-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N COLLINS BLVD STE 101B",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750803551",
            "telephone_number": "972-671-2225",
            "fax_number": "972-671-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RAY L. NANNIS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "NANNIS",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-671-2225",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nannis Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nannis Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.