Active NPI
Ray Laurin Nannis, D.C.
- Chiropractor
- Richardson, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6733
- Practice address
- 1750 N Collins Blvd Ste 101B
Richardson, TX 75080-3551 - Phone
- (972) 671-2225
- Fax
- (972) 671-2226
- NPI assigned
- Jan 15, 2007
- Sex
- Male
- Sole proprietor
- No
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 | 6733 | TX | Primary |
Addresses
Primary practice location
1750 N Collins Blvd Ste 101B
Richardson, TX 75080-3551
Mailing address
1750 N Collins Blvd Ste 101B
Richardson, TX 75080-3551
Phone (972) 671-2225
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 752705112AA | Other | TX | FISERV HEALTH PROVIDER # |
| 605646 | Other | TX | BCBS PROVIDER # |
| 172669003756 | Other | TX | HUMANA PROVIDER # |
| 752705112 | Other | TX | TAX ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110601000335 | TX | Practitioner - Chiropractic | 0840477717 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1750 N Collins Blvd
Suite 101B
Richardson, TX 75080-3551
Phone (972) 671-2225
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Owsdc PLLC | Chiropractor | Current | Accepting new patients |
| Dr. Ray L. Nannis, P.C. | Chiropractor | Current | Accepting new patients |
Locations
1980 Nantucket Dr
Ste 104
Richardson, TX 75080
Phone (972) 238-1373
1600 N Plano Rd
Ste 1000
Richardson, TX 75081
Phone (972) 671-2225
1750 N Collins Blvd
Ste 101B
Richardson, TX 75080
Phone (972) 671-2225
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.
-
- Chiropractor
- Richardson, TX
- NPI 1184917403
-
- Chiropractor
- Richardson, TX
- NPI 1174261598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1619028958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1750 N COLLINS BLVD STE 101B",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803551",
"telephone_number": "972-671-2225",
"fax_number": "972-671-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 N COLLINS BLVD STE 101B",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750803551",
"telephone_number": "972-671-2225",
"fax_number": "972-671-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANNIS",
"first_name": "RAY",
"middle_name": "LAURIN",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "6733",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FISERV HEALTH PROVIDER #",
"identifier": "752705112AA",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "605646",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA PROVIDER #",
"identifier": "172669003756",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "752705112",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.