Individual provider Active NPI

Ryan Benjamin Perkins, DC

  • Chiropractor
  • Springfield, MO
National Provider Identifier
1790951671
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2008011492 Issued in MO
Practice address
1200 E Woodhurst Dr Ste L200
Springfield, MO 65804-3776
Phone
(417) 885-1200
Fax
(417) 885-1202
NPI assigned
May 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2008011492 MO Primary

Addresses

Primary practice location

1200 E Woodhurst Dr Ste L200
Springfield, MO 65804-3776

Mailing address

1200 E Woodhurst Dr Ste L200
Springfield, MO 65804-3776
Phone (417) 885-1200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080515000195 MO Practitioner - Chiropractic 8820167927 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2008
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1200 E Woodhurst Dr
Springfield, MO 65804-3776
Phone (417) 885-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2008011492MOMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan B Perkins DC LLC Chiropractor CurrentSince May 6, 2008 Accepting new patients

Locations

1200 E Woodhurst Dr
Ste L200
Springfield, MO 65804
Phone (417) 823-8110

1354 E Kingsley St
Ste E
Springfield, MO 65804
Phone (417) 441-7155

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": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1790951671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E WOODHURST DR STE L200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043776",
            "telephone_number": "417-885-1200",
            "fax_number": "417-885-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E WOODHURST DR STE L200",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658043776",
            "telephone_number": "417-885-1200",
            "fax_number": "417-885-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "RYAN",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-01",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2008011492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.