Active NPI
Ryan Anderson, D.C.
- Chiropractor
- Austin, TX
National Provider Identifier
1588080923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 4433
- Practice address
- 4308 N Quinlan Park Rd
#200
Austin, TX 78732-6070 - Phone
- (512) 329-5500
- Fax
- (512) 266-6507
- NPI assigned
- Mar 10, 2014
- 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 | 4433 | OH | Primary |
Addresses
Primary practice location
4308 N Quinlan Park Rd
#200
Austin, TX 78732-6070
Mailing address
4308 N Quinlan Park Rd
#200
Austin, TX 78732-6070
Phone (512) 329-5500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4433 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433376000000",
"number": "1588080923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4308 N QUINLAN PARK RD",
"address_2": "#200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787326070",
"telephone_number": "512-329-5500",
"fax_number": "512-266-6507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4308 N QUINLAN PARK RD",
"address_2": "#200",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787326070",
"telephone_number": "512-329-5500",
"fax_number": "512-266-6507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "RYAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-03-10",
"last_updated": "2015-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "4433",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.