Individual provider Active NPI

Ricky L. Nall, D.C.

  • Chiropractor
  • Childress, TX
National Provider Identifier
1972563062
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6732 Issued in TX
Practice address
8000 US Highway 287
Childress, TX 79201-7146
Phone
(940) 937-8844
Fax
(940) 937-8855
NPI assigned
Mar 24, 2006
Last updated
Sep 28, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6732 TX Primary

Addresses

Primary practice location

8000 US Highway 287
Childress, TX 79201-7146

Mailing address

8000 US Highway 287
Childress, TX 79201-7146
Phone (940) 937-8844

Other identifiers 1

IdentifierTypeStateIssuer
P00139875OtherTXRAILROAD MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040629001169 TX Practitioner - Chiropractic 0941286843 Practice locations: Childress, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

108 Ave E NE
Childress, TX 79201-3717
Phone (940) 937-8844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6732TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1972563062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8000 US HIGHWAY 287",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "792017146",
            "telephone_number": "940-937-8844",
            "fax_number": "940-937-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 US HIGHWAY 287",
            "city": "CHILDRESS",
            "state": "TX",
            "postal_code": "792017146",
            "telephone_number": "940-937-8844",
            "fax_number": "940-937-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALL",
        "first_name": "RICKY",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "6732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00139875",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Childress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.