Individual provider Active NPI

Ryan Jeffrey Collart, D.C.

  • Chiropractor
  • Nashville, TN
National Provider Identifier
1447419379
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2282 Issued in TN
Practice address
4004 Hillsboro Pike
Suite125
Nashville, TN 37215-2791
Phone
(615) 292-8789
NPI assigned
Jun 5, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2282 TN Primary

Addresses

Primary practice location

4004 Hillsboro Pike
Suite125
Nashville, TN 37215-2791

Mailing address

4004 Hillsboro Pike
Suite 125
Nashville, TN 37215-2791
Phone (615) 292-8789

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081224000050 TN Practitioner - Chiropractic 7012079171 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Collart Chiropractic LLCGroup PAC ID 6204091176, 2 clinicians

Practice addresses (Care Compare)

1018 Quality Cir
Johnson City, TN 37615-4671
Phone (423) 854-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Collart Chiropractic LLC Chiropractor CurrentSince Apr 1, 2011 Accepting new patients
Kuhlman Chiropractic LLC Chiropractor Past Accepting new patients

Locations

1018 Quality Cir
Johnson City, TN 37615
Phone (423) 854-8700

926 W Oakland Ave
Ste 202
Johnson City, TN 37604
Phone (423) 850-1150

1303 Carroll Creek Rd
Ste 100
Johnson City, TN 37615
Phone (423) 854-8700

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": "1212624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1447419379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4004 HILLSBORO PIKE",
            "address_2": "SUITE 125",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152791",
            "telephone_number": "615-292-8789",
            "fax_number": "615-383-6852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4004 HILLSBORO PIKE",
            "address_2": "SUITE125",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152791",
            "telephone_number": "615-292-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLART",
        "first_name": "RYAN",
        "middle_name": "JEFFREY",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; 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.