NPIMap

Organization Active NPI

Raveling Chiropractic Center PA

  • Chiropractor
  • Dunedin, FL
National Provider Identifier
1164423505
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0004355 Issued in FL
Legal business name
RAVELING CHIROPRACTIC CENTER PA
Practice address
1116 Belcher Rd
Dunedin, FL 34698-5631
Phone
(727) 733-0433
Fax
(727) 738-6187
NPI assigned
Aug 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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

Authorized official

Name
Dr. Paul A. Raveling, D.C.NPI 1740396076
Title
President
Phone
(727) 733-0433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH0004355 FL Primary

Addresses

Primary practice location

1116 Belcher Rd
Dunedin, FL 34698-5631

Mailing address

1116 Belcher Rd
Dunedin, FL 34698-5631
Phone (727) 733-0433

Other identifiers 4

IdentifierTypeStateIssuer
380509300MedicaidFL
350024469OtherFLRAILROAD MEDICARE
88055ZOtherFLMEDICARE PTAN
88055OtherFLBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1116 Belcher Rd
Dunedin, FL 34698
Phone (727) 733-0433

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431302400000",
    "number": "1164423505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 BELCHER RD",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985631",
            "telephone_number": "727-733-0433",
            "fax_number": "727-738-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 BELCHER RD",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985631",
            "telephone_number": "727-733-0433",
            "fax_number": "727-738-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVELING CHIROPRACTIC CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2015-05-11",
        "status": "A",
        "authorized_official_last_name": "RAVELING",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-733-0433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH0004355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "380509300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "350024469",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "88055Z",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "88055",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2015; 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.