Active NPI
Ryan Jay Lounsberry, DC
- Chiropractor
- Maryville, TN
National Provider Identifier
1366498602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC0000001472
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4219754 | Other | TN | BCBST |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1472 | TN | MD | Professional Counselor |
| DC0000001472 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brown Chiropractic | Chiropractor | Past | Accepting new patients |
| Silveri Chiropractic Inc. | Chiropractor | Past | 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.
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- Chiropractor
- Knoxville, TN
- NPI 1619012507
-
- Chiropractor
- Madisonville, TN
- NPI 1396880951
-
- Chiropractor
- Springfield, IL
- NPI 1750453197
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.