Individual provider Active NPI

Richard Brett Payne, D.C.

  • Chiropractor
  • Grapevine, TX
National Provider Identifier
1982799201
Registry record updated May 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9817 Issued in TX
Practice address
4821 Merlot Ave Unit 240
Grapevine, TX 76051-7386
Phone
(817) 329-3552
Fax
(817) 329-3555
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9817 TX Primary

Addresses

Primary practice location

4821 Merlot Ave Unit 240
Grapevine, TX 76051-7386

Mailing address

4821 Merlot Ave Unit 240
Grapevine, TX 76051-7386
Phone (817) 329-3552

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080303000680 TX Practitioner - Chiropractic 3577647320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4821 Merlot Ave
Grapevine, TX 76051-7386
Phone (817) 329-3552

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9817TXMDAddiction (Substance Use Disorder) Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Payne Chiropractic, PA Chiropractor CurrentSince Jun 9, 2010 Accepting new patients

Locations

910 N Main St
Ste 1
Euless, TX 76039
Phone (817) 358-3552

910 N Main St
Euless, TX 76039
Phone (817) 358-3552

4821 Merlot Ave
Unit 240
Grapevine, TX 76051
Phone (817) 329-3552

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1982799201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4821 MERLOT AVE UNIT 240",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517386",
            "telephone_number": "817-329-3552",
            "fax_number": "817-329-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4821 MERLOT AVE UNIT 240",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760517386",
            "telephone_number": "817-329-3552",
            "fax_number": "817-329-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "RICHARD",
        "middle_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grapevine, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; 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.