Raymond Robert Jennings, D.C.
Individual provider Active NPI Chiropractor · New Palestine, IN
NPI 1164840237 · NPPES record last updated Apr 4, 2014
Key facts
- NPI
- 1164840237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08002762A (IN)
- Practice address
- 4911 Catalina South Dr
New Palestine, IN 46163-9675 - Phone
- (317) 697-7484
- NPI assigned
- Apr 4, 2014
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Storm Chiropractic Clinic LLC
Practice addresses (Care Compare)
622 N Madison Ave
Suite 9
Greenwood, IN 46142-4052
Phone (317) 885-8520
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151202001206 | IN | Practitioner - Chiropractic | 0244530921 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Storm Chiropractic Clinic LLC | Chiropractor | Current |
Accepting new patients |
Locations
622 N Madison Ave
Ste 9
Greenwood, IN 46142
Phone (317) 653-5872
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08002762A | IN | Yes |
Addresses
Primary practice location
4911 Catalina South Dr
New Palestine, IN 46163-9675
Mailing address
4911 Catalina South Dr
New Palestine, IN 46163-9675
Phone (317) 697-7484
Other providers in New Palestine, IN
- Chelsea Hunter
- Roger W Hurlbut Jr.
- Kaitlin M Jackson
- Joyce Jacobs
- Brian Patrick Jennings
- Jessica Johnson
- Judy Hamrock Counseling LLC
- Diana Lynn Kafoure
- Wendy Kihiu
- Shannon Kimbley
All providers in New Palestine, IN · Chiropractor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.