Individual provider Active NPI

Ronald D Muse, D.C.

  • Chiropractor
  • Jackson, TN
National Provider Identifier
1760422851
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2135 Issued in TN
Practice address
130 Stonebridge Blvd
Suite B
Jackson, TN 38305-2056
Phone
(731) 984-9800
Fax
(731) 984-7346
NPI assigned
Jun 7, 2006
Last updated
Mar 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 01-05034 KS
Chiropractor 111N00000X 3499 OK
Chiropractor 111N00000X 2135 TN Primary

Addresses

Primary practice location

130 Stonebridge Blvd
Suite B
Jackson, TN 38305-2056

Mailing address

130 Stonebridge Blvd
Suite B
Jackson, TN 38305-2056
Phone (731) 984-9800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220516002662 OK Practitioner - Chiropractic 0345243275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Kansas City, 1999
Medicare assignment
May accept Medicare assignment
Group practices
TMP Chiropractic PCGroup PAC ID 4082610068, 2 clinicians

Practice addresses (Care Compare)

8013 S Western Ave
Suite a
Oklahoma City, OK 73139-2537
Phone (405) 604-5295

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3499OKMDMental Health Counselor
01-05034KSMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Chiropractic Group 3 LLC Chiropractor CurrentSince May 13, 2024 Accepting new patients
TMP Chiropractic PC Chiropractor CurrentSince May 13, 2024 Accepting new patients

Locations

8013 S Western Ave
Ste A
Oklahoma City, OK 73139
Phone (405) 604-5295

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1760422851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 STONEBRIDGE BLVD",
            "address_2": "SUITE B",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052056",
            "telephone_number": "731-984-9800",
            "fax_number": "731-984-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 STONEBRIDGE BLVD",
            "address_2": "SUITE B",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383052056",
            "telephone_number": "731-984-9800",
            "fax_number": "731-984-7346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSE",
        "first_name": "RONALD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KS",
            "license": "01-05034",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "3499",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "2135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; 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.