Individual provider Active NPI

Dylan J Payne, DC

  • Chiropractor
  • Bastrop, TX
National Provider Identifier
1548770324
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13621 Issued in TX
Practice address
1106 College St Ste a
Bastrop, TX 78602-3948
Phone
(512) 441-1240
NPI assigned
Oct 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 13621 TX Primary

Addresses

Primary practice location

1106 College St Ste a
Bastrop, TX 78602-3948

Mailing address

805 Dulwich St
Austin, TX 78748-6515
Phone (512) 589-8967

Other identifiers 1

IdentifierTypeStateIssuer
615934ZHUEOtherTXMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171120003647 TX Practitioner - Chiropractic 5698032043 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kapsner Chiropractic Centers PAGroup PAC ID 8820194236, 11 clinicians

Practice addresses (Care Compare)

2000 S Ih
35 Suite H 1
Round Rock, TX 78681-6900
Phone (512) 733-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13621TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Kapsner Chiropractic Centers PA Chiropractor CurrentSince Sep 27, 2017 Accepting new patients

Locations

3005 S Lamar Blvd
Ste D112
Austin, TX 78704
Phone (512) 441-1240

1701 W Ben White Blvd
Ste 160
Austin, TX 78704
Phone (512) 441-1240

9012 Research Blvd
Ste C7
Austin, TX 78758
Phone (512) 459-4014

1106 College St
Ste A
Bastrop, TX 78602
Phone (512) 441-1240

696 Highway 71 W
Ste 2B
Bastrop, TX 78602
Phone (512) 985-5486

920 N Vista Ridge Blvd
Ste 600
Cedar Park, TX 78613
Phone (512) 260-4020

2000 S Ih 35
Ste H1
Round Rock, TX 78681
Phone (512) 459-4014

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": "1507161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1548770324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 DULWICH ST",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787486515",
            "telephone_number": "512-589-8967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 COLLEGE ST STE A",
            "city": "BASTROP",
            "state": "TX",
            "postal_code": "786023948",
            "telephone_number": "512-441-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "DYLAN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-05",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "13621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "615934ZHUE",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bastrop, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.