Individual provider Active NPI

Ryan Michael Konarik, DC

  • Chiropractor
  • Crosby, TX
National Provider Identifier
1629020656
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9170 Issued in TX
Practice address
15010 FM 2100 Rd
Suite 112
Crosby, TX 77532-8119
Phone
(281) 462-2500
Fax
(281) 462-2544
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9170 TX Primary

Addresses

Primary practice location

15010 FM 2100 Rd
Suite 112
Crosby, TX 77532-8119

Mailing address

15010 FM 2100 Rd
Suite 112
Crosby, TX 77532-8119
Phone (281) 462-2500

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

LicenseStateTypeSpecialty
9170TXMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1629020656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15010 FM 2100 RD",
            "address_2": "SUITE 112",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775328119",
            "telephone_number": "281-462-2500",
            "fax_number": "281-462-2544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15010 FM 2100 RD",
            "address_2": "SUITE 112",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775328119",
            "telephone_number": "281-462-2500",
            "fax_number": "281-462-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONARIK",
        "first_name": "RYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crosby, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.