Individual provider Active NPI

Billy Lloyd Ryan, D.C.

  • Chiropractor
  • San Antonio, TX
National Provider Identifier
1932232410
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2512 Issued in TX
Practice address
458 Pamela Dr
San Antonio, TX 78223-1226
Phone
(210) 533-0506
Fax
(210) 533-1991
NPI assigned
Mar 13, 2007
Last updated
Jul 9, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2512 TX Primary

Addresses

Primary practice location

458 Pamela Dr
San Antonio, TX 78223-1226

Mailing address

458 Pamela Dr
San Antonio, TX 78223-1226
Phone (210) 533-0506

Other identifiers 2

IdentifierTypeStateIssuer
600803MedicaidTX
DC2512OtherTXPROVIDER ID

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100922000358 TX Practitioner - Chiropractic 0840316394 Practice locations: San Antonio, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

458 Pamela Dr
San Antonio, TX 78223-1226
Phone (210) 533-0506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2512TXMDChiropractor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1932232410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 PAMELA DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782231226",
            "telephone_number": "210-533-0506",
            "fax_number": "210-533-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "458 PAMELA DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782231226",
            "telephone_number": "210-533-0506",
            "fax_number": "210-533-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "BILLY",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "2512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600803",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "DC2512",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; 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.