Individual provider Active NPI

Ryan Jay Lounsberry, DC

  • Chiropractor
  • Maryville, TN
National Provider Identifier
1366498602
Registry record updated May 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC0000001472 Issued in TN
Practice address
1812 E Lamar Alexander Pkwy
Maryville, TN 37804-5283
Phone
(865) 977-0916
Fax
(685) 984-3519
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC0000001472 TN Primary

Addresses

Primary practice location

1812 E Lamar Alexander Pkwy
Maryville, TN 37804-5283

Mailing address

1812 E Lamar Alexander Pkwy
Maryville, TN 37804-5283
Phone (865) 977-0916

Other identifiers 1

IdentifierTypeStateIssuer
4219754OtherTNBCBST

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1472TNMDProfessional Counselor
DC0000001472TNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Chiropractic Chiropractor Past Accepting new patients
Silveri Chiropractic Inc. Chiropractor PastSince Aug 10, 2009 Accepting new patients
Woodrow W. Gwinn Jr. Chiropractor Past Accepting new patients
Woodrow W Gwinn Jr Chiropractor Past Accepting new patients

Organizations & group practices 4

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241740800000",
    "number": "1366498602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045283",
            "telephone_number": "865-977-0916",
            "fax_number": "685-984-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1812 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045283",
            "telephone_number": "865-977-0916",
            "fax_number": "685-984-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUNSBERRY",
        "first_name": "RYAN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2009-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000001472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBST",
            "identifier": "4219754",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.