Individual provider Active NPI

Muhummad Asif Razak, D.C.

  • Chiropractor
  • Ashland, KY
National Provider Identifier
1063675155
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5097 Issued in KY
Practice address
4360 13TH St
Ashland, KY 41102-5432
Phone
(606) 326-0100
Fax
(606) 326-0131
NPI assigned
Jul 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5097 KY Primary

Addresses

Primary practice location

4360 13TH St
Ashland, KY 41102-5432

Mailing address

4360 13TH St
Ashland, KY 41102-5432
Phone (606) 393-0788

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080930000123 KY Practitioner - Chiropractic 6800963026 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4360 13TH St
Ashland, KY 41102-5432
Phone (606) 393-0788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5097KYMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Mob, PSC Chiropractor CurrentSince Dec 9, 2014 Accepting new patients
Ashland Integrated Medicine PSC Chiropractor PastSince Feb 21, 2015 Accepting new patients
Chiro One Wellness Center of Tates Creek PLLC Chiropractor PastSince Jan 3, 2014 Accepting new patients
Holmes Chiropractic PSC Chiropractor Past Accepting new patients

Locations

4360 13th St
Ashland, KY 41102
Phone (606) 326-0100

1203 13th St
Ste B
Ashland, KY 41101
Phone (606) 393-0788

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1063675155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4360 13TH ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411025432",
            "telephone_number": "606-393-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 13TH ST",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411025432",
            "telephone_number": "606-326-0100",
            "fax_number": "606-326-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZAK",
        "first_name": "MUHUMMAD",
        "middle_name": "ASIF",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "5097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.