NPIMap

Organization Active NPI

Troy Chiropractic LLC

Doing business as Troy Chiropractic

  • Chiropractor
  • Troy, MO
National Provider Identifier
1740370964
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2002002939 Issued in MO
Legal business name
TROY CHIROPRACTIC LLC
Doing business as
Troy Chiropractic
Practice address
100 Sarah Ann Blvd
Troy, MO 63379-2038
Phone
(636) 528-8282
Fax
(636) 528-3914
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Dr. Ryan D Eckman, DCNPI 1952480402
Title
Owner
Phone
(636) 528-8282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2002002939 MO Primary

Addresses

Primary practice location

100 Sarah Ann Blvd
Troy, MO 63379-2038

Mailing address

100 Sarah Ann Blvd
Troy, MO 63379-2038
Phone (636) 528-8282

Other identifiers 3

IdentifierTypeStateIssuer
504484908MedicaidMO
152785OtherBCBS
475894OtherHEALTH LINK

Other names 1

  • Troy Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051024000167 MO Part B Supplier - Clinic/Group Practice 6901822410 Receives reassigned benefits from 3 practitioners
Practice locations: Troy, MO

National Provider Directory

National Provider Directory

Locations

3 Prospect Cir
Troy, MO 63379
Phone (636) 528-8282

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1740370964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 SARAH ANN BLVD",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633792038",
            "telephone_number": "636-528-8282",
            "fax_number": "636-528-3914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SARAH ANN BLVD",
            "city": "TROY",
            "state": "MO",
            "postal_code": "633792038",
            "telephone_number": "636-528-8282",
            "fax_number": "636-528-3914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TROY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "ECKMAN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-528-8282",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2002002939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "504484908",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "152785",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH LINK",
            "identifier": "475894",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Troy Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Troy Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.