Individual provider Active NPI

Ryan S Robinson, D.C.

  • Chiropractor
  • Grapevine, TX
National Provider Identifier
1851739072
Registry record updated Mar 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
12373 Issued in TX
Practice address
1100 S Main St
Suite D
Grapevine, TX 76051-7531
Phone
(817) 203-2184
Fax
(817) 488-9054
NPI assigned
Jun 10, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 12373 TX Primary

Addresses

Primary practice location

1100 S Main St
Suite D
Grapevine, TX 76051-7531

Mailing address

1100 S Main St
Suite D
Grapevine, TX 76051-7531
Phone (817) 203-2184

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140501000342 TX Practitioner - Chiropractic 1658503008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

817 Towne CT
Suite 100
Fort Worth, TX 76179-1219
Phone (817) 232-2240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12373TXMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sportmed Chiropractic PLLC Chiropractor CurrentSince Feb 8, 2014 Accepting new patients
Reiland Chiropractic and Healing Institute Chiropractor Past Accepting new patients

Locations

1100 S Main St
Ste D
Grapevine, TX 76051
Phone (817) 329-2273

817 Towne Ct
Ste 100
Saginaw, TX 76179
Phone (817) 232-2240

Organizations & group practices 2

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": "1370822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393718400000",
    "number": "1851739072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S MAIN ST",
            "address_2": "SUITE D",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517531",
            "telephone_number": "817-203-2184",
            "fax_number": "817-488-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S MAIN ST",
            "address_2": "SUITE D",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517531",
            "telephone_number": "817-203-2184",
            "fax_number": "817-488-9054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "RYAN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-10",
        "last_updated": "2014-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "12373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2014; 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.