Individual provider Active NPI

Bryan D Royer, D.C.

  • Chiropractor
  • Sylvania, OH
National Provider Identifier
1194718585
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC-3582 Issued in OH
Practice address
5800 Monroe St A11
Sylvania, OH 43560-2363
Phone
(419) 517-5055
Fax
(419) 517-1307
NPI assigned
Aug 31, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC-3582 OH Primary

Addresses

Primary practice location

5800 Monroe St A11
Sylvania, OH 43560-2363

Mailing address

5800 Monroe St A11
Sylvania, OH 43560-2363
Phone (419) 517-5055

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050609000034 OH Practitioner - Chiropractic 9739122946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5800 Monroe St
Suite A11
Sylvania, OH 43560-2363
Phone (419) 517-5055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC-3582OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Chiropractic Center, Inc CurrentSince May 31, 2020 Accepting new patients

Locations

5800 Monroe St
Ste A11
Sylvania, OH 43560
Phone (419) 517-5055

3829 Woodley Rd
Ste 1
Toledo, OH 43606
Phone (419) 517-5055

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1194718585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 MONROE ST A11",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602363",
            "telephone_number": "419-517-5055",
            "fax_number": "419-571-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 MONROE ST A11",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602363",
            "telephone_number": "419-517-5055",
            "fax_number": "419-517-1307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYER",
        "first_name": "BRYAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "DC-3582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2020; 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.