Individual provider Active NPI

Ryan Charles Tinsley, DC

  • Chiropractor
  • Edwardsville, IL
National Provider Identifier
1851011035
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038.013904 Issued in IL
Practice address
1 Country Club VW Ste 101
Edwardsville, IL 62025-3693
Phone
(618) 307-9383
Fax
(888) 979-6608
NPI assigned
Aug 30, 2022
Last updated
Nov 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 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 038.013904 IL Primary

Addresses

Primary practice location

1 Country Club VW Ste 101
Edwardsville, IL 62025-3693

Mailing address

2034 Lucas Ave Apt 401
Saint Louis, MO 63103-1677
Phone (618) 792-9799

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241119000880 IL Practitioner - Chiropractic 1557896297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rozell Chiropractic IncGroup PAC ID 0244588432, 3 clinicians

Practice addresses (Care Compare)

1 Country Club VW
Suite 101
Edwardsville, IL 62025-3693
Phone (618) 307-9383

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rozell Chiropractic Inc Chiropractor CurrentSince Jan 1, 2025 Accepting new patients

Locations

1 Country Club Vw
Ste 101
Edwardsville, IL 62025
Phone (618) 307-9383

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, 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": "1661817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1851011035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 LUCAS AVE APT 401",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031677",
            "telephone_number": "618-792-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COUNTRY CLUB VW STE 101",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253693",
            "telephone_number": "618-307-9383",
            "fax_number": "888-979-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINSLEY",
        "first_name": "RYAN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-30",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwardsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.