Individual provider Active NPI

Ryan Warren Lynch, DC

  • Chiropractor
  • Granbury, TX
National Provider Identifier
1750364709
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9808 Issued in TX
Practice address
2600 James Rd Ste 400
Granbury, TX 76049-3124
Phone
(817) 326-1465
Fax
(817) 326-1472
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9808 TX Primary

Addresses

Primary practice location

2600 James Rd Ste 400
Granbury, TX 76049-3124

Mailing address

2600 James Rd Ste 400
Granbury, TX 76049-3124
Phone (817) 326-1465

Other identifiers 1

IdentifierTypeStateIssuer
608130OtherTXBCBS PROVIDER ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050330000453 TX Practitioner - Chiropractic 0345296703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2600 James Rd
Suite 400
Granbury, TX 76049-3124
Phone (817) 326-1465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9808TXMDMagnetic Resonance Imaging Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family First Chiropractic Wellness Center Chiropractor CurrentSince Jan 3, 2005 Accepting new patients

Locations

2600 James Rd
Ste 400
Granbury, TX 76049
Phone (817) 326-1465

Organizations & group practices 1

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": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655251200000",
    "number": "1750364709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 JAMES RD STE 400",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760493124",
            "telephone_number": "817-326-1465",
            "fax_number": "817-326-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 JAMES RD STE 400",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760493124",
            "telephone_number": "817-326-1465",
            "fax_number": "817-326-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYNCH",
        "first_name": "RYAN",
        "middle_name": "WARREN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "608130",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Granbury, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; 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.