Jessica Ray, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

4296 Issued in OK

Practice address

17236 N May Ave Ste a
Edmond, OK 73012-9137

Phone

(405) 562-3199

Fax

(405) 265-5280

NPI assigned

Dec 5, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jessica Martin Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Radiant Life Chiropractic PLLC

  • Chiropractor
  • Edmond, OK
  • NPI 1548745797
  NPD (past) Authorized official

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763078400000",
    "number": "1033517107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17236 N MAY AVE STE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129137",
            "telephone_number": "405-562-3199",
            "fax_number": "405-265-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17236 N MAY AVE STE A",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730129137",
            "telephone_number": "405-562-3199",
            "fax_number": "405-265-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-05",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OK",
            "license": "4296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MARTIN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Ray
• Billy Van Ray, M.ED.
• Carla Ray
• Christiana Rochelle Ray, RBT
• Jennifer Corrine Ray, MS, RD/LD
• Katherine Jean Ray, M.B.A
• Kevin Michael Readel, RN
• Tysen Rose Reaties, RBT
• Ricky Reaves, M.D.
• Spencer Reavis

• Chiropractor in Edmond, OK
• Providers in Edmond, OK by specialty
• Chiropractor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; 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.