Individual provider Active NPI

Ryan Nobles, DC

  • Chiropractor
  • Daphne, AL
National Provider Identifier
1194066613
Registry record updated Sep 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2412 Issued in AL
Practice address
27535 US Highway 98
Daphne, AL 36526-4839
Phone
(251) 375-0131
Fax
(251) 375-0132
NPI assigned
Mar 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1630 LA
Chiropractor 111N00000X 2412 AL Primary

Addresses

Primary practice location

27535 US Highway 98
Daphne, AL 36526-4839

Mailing address

27535 US Highway 98
Daphne, AL 36526-4839
Phone (251) 375-0131

Other practice location 1

6483 Van Buren Street
Suite 101
Daphne, AL 36526
Phone (251) 375-0131

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151211000307 AL Practitioner - Chiropractic 6507166451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

27535 US Hwy 98
Daphne, AL 36526-4839
Phone (251) 375-0131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1630LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Chiropractic L.L.C. Chiropractor Current Accepting new patients
Coastal Chiropractic L.L.C. Chiropractor CurrentSince Aug 15, 2013 Accepting new patients

Locations

6483 Van Buren St
Ste 101
Daphne, AL 36526
Phone (251) 375-0131

27535 US Highway 98
Daphne, AL 36526
Phone (251) 375-0131

Organizations & group practices 2

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": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695081600000",
    "number": "1194066613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27535 US HIGHWAY 98",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264839",
            "telephone_number": "251-375-0131",
            "fax_number": "251-375-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27535 US HIGHWAY 98",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264839",
            "telephone_number": "251-375-0131",
            "fax_number": "251-375-0132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6483 Van Buren Street",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Daphne",
            "state": "AL",
            "postal_code": "36526",
            "country_code": "US",
            "telephone_number": "251-375-0131",
            "fax_number": "251-375-0132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBLES",
        "first_name": "RYAN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-07",
        "last_updated": "2023-09-19",
        "certification_date": "2023-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "LA",
            "license": "1630",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daphne, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2023; 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.