Individual provider Active NPI

Ryan R Maguire, D.C.

  • Chiropractor
  • Wylie, TX
National Provider Identifier
1336345065
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC8409 Issued in TX
Practice address
101 S Ballard Ave # B
Wylie, TX 75098-3941
Phone
(972) 429-4553
Fax
(972) 429-4233
NPI assigned
Jun 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC8409 TX Primary

Addresses

Primary practice location

101 S Ballard Ave # B
Wylie, TX 75098-3941

Mailing address

101 S Ballard Ave # B
Wylie, TX 75098-3941
Phone (972) 429-4553

Other identifiers 1

IdentifierTypeStateIssuer
8B2888OtherTXBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111012000502 TX Practitioner - Chiropractic 3779755970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 S Ballard Ave
B
Wylie, TX 75098-3941
Phone (972) 429-4553

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC8409TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
R R Maguire Management Inc Chiropractor CurrentSince Feb 1, 2011 Accepting new patients
R R Maguire Management Inc Past Accepting new patients

Locations

101 S Ballard Ave
#B
Wylie, TX 75098
Phone (972) 429-4553

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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1336345065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S BALLARD AVE # B",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750983941",
            "telephone_number": "972-429-4553",
            "fax_number": "972-429-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S BALLARD AVE # B",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750983941",
            "telephone_number": "972-429-4553",
            "fax_number": "972-429-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGUIRE",
        "first_name": "RYAN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "DC8409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8B2888",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.