Active NPI
Ryan D Eckman, DC
- Chiropractor
- Troy, MO
National Provider Identifier
1952480402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2002002939
- Practice address
- 3 Prospect Cir
Troy, MO 63379 - Phone
- (636) 528-8282
- Fax
- (636) 825-3914
- NPI assigned
- Nov 3, 2006
- Last updated
- May 10, 2017
- 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 | 2002002939 | MO | Primary |
Addresses
Primary practice location
3 Prospect Cir
Troy, MO 63379
Mailing address
100 Sarah Ann Blvd
Troy, MO 63379-2038
Phone (636) 528-8282
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152785 | Other | BCBS | |
| 475894 | Other | HEALTHLINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Sarah Ann Blvd
Troy, MO 63379-2038
Phone (636) 528-8282
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2002002939 | MO | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Troy Chiropractic LLC | Chiropractor | Current | Accepting new patients |
Locations
100 Sarah Ann Blvd
Troy, MO 63379
Phone (636) 528-8282
3 Prospect Cir
Troy, MO 63379
Phone (636) 528-8282
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": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494374400000",
"number": "1952480402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SARAH ANN BLVD",
"city": "TROY",
"state": "MO",
"postal_code": "633792038",
"telephone_number": "636-528-8282",
"fax_number": "636-825-3914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 PROSPECT CIR",
"city": "TROY",
"state": "MO",
"postal_code": "63379",
"telephone_number": "636-528-8282",
"fax_number": "636-825-3914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKMAN",
"first_name": "RYAN",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2017-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MO",
"license": "2002002939",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "152785",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "475894",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; 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.