Individual provider Active NPI

Ricky Lee Hanks, D.C.

  • Chiropractor
  • Dallas, TX
National Provider Identifier
1528064979
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4451 Issued in TX
Practice address
11411 E Northwest Hwy
Ste 107
Dallas, TX 75218-1442
Phone
(214) 343-2225
Fax
(214) 343-2655
NPI assigned
Jun 21, 2005
Reactivated
Mar 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4451 TX Primary

Addresses

Primary practice location

11411 E Northwest Hwy
Ste 107
Dallas, TX 75218-1442

Mailing address

11411 E Northwest Hwy
Ste 107
Dallas, TX 75218-1442
Phone (214) 343-2225

Other identifiers 1

IdentifierTypeStateIssuer
002087701MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110928000018 TX Practitioner - Chiropractic 9032380969 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

11411 E Northwest Hwy
Suite 107
Dallas, TX 75218-1442
Phone (214) 343-2225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4451TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hanks Chiropractic Center PC Chiropractor CurrentSince Jul 12, 2011 Accepting new patients

Locations

11411 E Northwest Hwy
Ste 107
Dallas, TX 75218
Phone (214) 343-2225

Organizations & group practices 1

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": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1528064979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11411 E NORTHWEST HWY",
            "address_2": "STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752181442",
            "telephone_number": "214-343-2225",
            "fax_number": "214-343-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11411 E NORTHWEST HWY",
            "address_2": "STE 107",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752181442",
            "telephone_number": "214-343-2225",
            "fax_number": "214-343-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANKS",
        "first_name": "RICKY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2011-08-02",
        "deactivation_date": "2006-03-21",
        "reactivation_date": "2006-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "4451",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002087701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.