Individual provider Active NPI

Barry P Raxenberg, D.C.

  • Chiropractor
  • West Palm Beach, FL
National Provider Identifier
1013916758
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH007858 Issued in FL
Practice address
1501 Presidential Way
Suite 19
West Palm Beach, FL 33401-1800
Phone
(561) 686-3201
Fax
(561) 686-1622
NPI assigned
Jul 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH007858 FL Primary

Addresses

Primary practice location

1501 Presidential Way
Suite 19
West Palm Beach, FL 33401-1800

Mailing address

1501 Presidential Way
Suite 19
West Palm Beach, FL 33401-1800
Phone (561) 686-3201

Other identifiers 1

IdentifierTypeStateIssuer
55991OtherFLBC/BS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH007858FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013916758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 PRESIDENTIAL WAY",
            "address_2": "SUITE 19",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334011800",
            "telephone_number": "561-686-3201",
            "fax_number": "561-686-1622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 PRESIDENTIAL WAY",
            "address_2": "SUITE 19",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334011800",
            "telephone_number": "561-686-3201",
            "fax_number": "561-686-1622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAXENBERG",
        "first_name": "BARRY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH007858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS PROVIDER NUMBER",
            "identifier": "55991",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.