Active NPI
Ricky Lee Hanks, D.C.
- Chiropractor
- Dallas, TX
National Provider Identifier
1528064979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4451
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002087701 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4451 | TX | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hanks Chiropractic Center PC | Chiropractor | Current | 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.
-
- Chiropractor
- Dallas, TX
- NPI 1427272558
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.