Active NPI
Ryan Wayne House, D.C.
- Chiropractor
- Lebanon, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2103
- Practice address
- 1633 W Main St
#401
Lebanon, TN 37087-3423 - Phone
- (615) 444-2234
- Fax
- (615) 547-4849
- NPI assigned
- Jun 1, 2006
- Last updated
- Mar 15, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2103 | TN | Primary |
Addresses
Primary practice location
1633 W Main St
#401
Lebanon, TN 37087-3423
Mailing address
1633 W Main St
#401
Lebanon, TN 37087-3423
Phone (615) 444-2234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3734252 | Other | TN | MEDICARE PTAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2005
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
1633 W Main St
Suite 401
Lebanon, TN 37087-7804
Phone (615) 444-2234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2103 | TN | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cumberland Chiropractic and Sports Medicine, LLC | Chiropractor | Current | Accepting new patients |
| In Motion Spine & Joint Center, Inc. | Chiropractor | Past | Accepting new patients |
Locations
1416 W Main St
Ste H
Lebanon, TN 37087
Phone (615) 444-2234
1633 W Main St
Ste 401
Lebanon, TN 37087
Phone (615) 444-2234
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Lebanon, TN
- NPI 1881930337
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- Chiropractor
- Spring Hill, TN
- NPI 1053340190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458000000000",
"number": "1891732517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 W MAIN ST",
"address_2": "#401",
"city": "LEBANON",
"state": "TN",
"postal_code": "370873423",
"telephone_number": "615-444-2234",
"fax_number": "615-547-4849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 W MAIN ST",
"address_2": "#401",
"city": "LEBANON",
"state": "TN",
"postal_code": "370873423",
"telephone_number": "615-444-2234",
"fax_number": "615-547-4849"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSE",
"first_name": "RYAN",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2016-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TN",
"license": "2103",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "3734252",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lebanon, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; 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.