Individual provider Active NPI

Ray Laurin Nannis, D.C.

  • Chiropractor
  • Richardson, TX
National Provider Identifier
1619028958
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6733 Issued in TX
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

Updated by the provider on Jul 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
752705112AAOtherTXFISERV HEALTH PROVIDER #
605646OtherTXBCBS PROVIDER #
172669003756OtherTXHUMANA PROVIDER #
752705112OtherTXTAX ID #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. Confirm with the OIG exclusions search.

Practice roles

OrganizationSpecialtyStatusNew patients
Owsdc PLLC Chiropractor CurrentSince May 29, 2022 Accepting new patients
Dr. Ray L. Nannis, P.C. Chiropractor CurrentSince May 6, 2011 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.

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.

Verify at the official NPI Registry.