Individual provider Active NPI

Ronson Holliday Dykstra, DC

  • Chiropractor
  • Franklin, TN
National Provider Identifier
1619927258
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2572 Issued in TN
Practice address
206B Cool Springs Blvd Ste 202
Franklin, TN 37067-7292
Phone
(615) 916-0176
Fax
(615) 465-6662
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1418844 MI
Chiropractor 111N00000X 2572 TN Primary

Addresses

Primary practice location

206B Cool Springs Blvd Ste 202
Franklin, TN 37067-7292

Mailing address

206B Cool Springs Blvd Ste 202
Franklin, TN 37067-7292
Phone (615) 916-0176

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160701000792 TN Practitioner - Chiropractic 9436128493 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

206 B Cool Springs Blvd
Suite 202
Franklin, TN 37067-7292
Phone (615) 446-9084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1418844MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Medical LLC CurrentSince Jun 30, 2017 Accepting new patients
Weiss Chiropractic, PLLC Chiropractor PastSince May 19, 2008 Accepting new patients
Westra Chiropractic Center PLLC Chiropractor Past Accepting new patients
Dykstra Chiropractic PC Chiropractor PastSince Aug 4, 2005 Accepting new patients

Locations

206B Cool Springs Blvd
Ste 202
Franklin, TN 37067
Phone (615) 446-9084

Organizations & group practices 5

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1619927258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206B COOL SPRINGS BLVD STE 202",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677292",
            "telephone_number": "615-916-0176",
            "fax_number": "615-465-6662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206B COOL SPRINGS BLVD STE 202",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370677292",
            "telephone_number": "615-916-0176",
            "fax_number": "615-465-6662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKSTRA",
        "first_name": "RONSON",
        "middle_name": "HOLLIDAY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "1418844",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.