Active NPI
Rycahan Inc
- Chiropractor
- Clifton, TX
National Provider Identifier
1437685302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- RYCAHAN INC
- Practice address
- 230 N Avenue D
Clifton, TX 76634-1620 - Phone
- (254) 675-3078
- Fax
- (254) 675-3145
- NPI assigned
- May 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lee A Bergren, D.C.
- Title
- Owner
- Phone
- 22546753078
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
230 N Avenue D
Clifton, TX 76634-1620
Mailing address
230 N Avenue D
Clifton, TX 76634-1620
Phone (254) 675-3078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170713002822 | TX | Part B Supplier - Clinic/Group Practice | 9133499726 |
Receives reassigned benefits from 1 practitioner Practice locations: Clifton, TX |
National Provider Directory
National Provider DirectoryLocations
230 N Avenue D
Clifton, TX 76634
Phone (254) 675-3078
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Whitney, TX
- NPI 1689602419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1494460800000",
"number": "1437685302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 N AVENUE D",
"city": "CLIFTON",
"state": "TX",
"postal_code": "766341620",
"telephone_number": "254-675-3078",
"fax_number": "254-675-3145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 N AVENUE D",
"city": "CLIFTON",
"state": "TX",
"postal_code": "766341620",
"telephone_number": "254-675-3078",
"fax_number": "254-675-3145"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RYCAHAN INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A",
"authorized_official_last_name": "BERGREN",
"authorized_official_first_name": "LEE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "22546753078",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.