Individual provider Active NPI

Ravyn Donielle Cotton, DC, MSFN

  • Chiropractor
  • Desoto, TX
National Provider Identifier
1922869478
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15884 Issued in TX
Practice address
1801 N Hampton Rd Ste 464
Desoto, TX 75115-2391
Phone
(214) 886-8576
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 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 15884 TX Primary

Addresses

Primary practice location

1801 N Hampton Rd Ste 464
Desoto, TX 75115-2391

Mailing address

1801 N Hampton Rd Ste 464
Desoto, TX 75115-2391
Phone (214) 886-8576

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240430001301 TX Practitioner - Chiropractic 7012357684 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Iasoto Chiropractic Wellness Center Chiropractor CurrentSince Feb 11, 2024 Accepting new patients

Locations

1801 N Hampton Rd
Ste 464
Desoto, TX 75115
Phone (214) 886-8576

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": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1922869478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N HAMPTON RD STE 464",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152391",
            "telephone_number": "214-886-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N HAMPTON RD STE 464",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751152391",
            "telephone_number": "214-886-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTON",
        "first_name": "RAVYN",
        "middle_name": "DONIELLE",
        "credential": "DC, MSFN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "15884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.