Raymond Andrew Maucere, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC0000001049 Issued in TN

Practice address

3600 Hixson Pike
Suite 114
Chattanooga, TN 37415-3561

Phone

(423) 875-6555

Fax

(423) 875-6567

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Networks

• MS PPO C-SNP
• MS PPO
• MS PPO D-SNP

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334707200000",
    "number": "1023101664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 HIXSON PIKE",
            "address_2": "SUITE 114",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153561",
            "telephone_number": "423-875-6555",
            "fax_number": "423-875-6567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 HIXSON PIKE",
            "address_2": "SUITE 114",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374153561",
            "telephone_number": "423-875-6555",
            "fax_number": "423-875-6567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAUCERE",
        "first_name": "RAYMOND",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2012-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TN",
            "license": "DC0000001049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "191482",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3677401",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maturecare of Standifer Place LLC (Adult Day Care @ Standifer Gap)
• Maturecare of Standifer Place LLC
• Mark Matus, MD
• Sydney Jade Matyczynski
• Dennis C. Matzkin, M.D.
• Gary Mauldin, LMFT
• Johnathan Matthew Mauldin, M.D.
• Maurice S. Rawlings, Jr., M.D., P.C. (The Breast Center of Chattanooga)
• Richard Franklin Mauroner, M.D.
• Lora Elizabeth Maury, RN

• Chiropractor in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Chiropractor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.