Active NPI
Timothy William Ray, D.C.
- Orthopedic Chiropractor
- Longmont, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 1358
- Practice address
- 421 21St Ave
Suite 40
Longmont, CO 80501-1469 - Phone
- (303) 776-5520
- Fax
- (303) 776-5522
- NPI assigned
- Feb 12, 2007
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 1358 | CO | |
| Orthopedic Chiropractor | 111NX0800X | 1358 | CO | Primary |
Addresses
Primary practice location
421 21St Ave
Suite 40
Longmont, CO 80501-1469
Mailing address
421 21St Ave
Suite 40
Longmont, CO 80501-1469
Phone (303) 776-5520
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2261 | CT | MD | Clinical Social Worker |
| 1358 | CO | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South-West Community Health Center, Inc | Current | Accepting new patients |
Locations
1020 Fairfield Ave
Bridgeport, CT 06605
Phone (203) 332-4600
46 Albion St
Bridgeport, CT 06605
Phone (203) 332-3155
510 Clinton Ave
Bridgeport, CT 06605
Phone (203) 366-4000
968 Fairfield Ave
Bridgeport, CT 06605
Interoperability endpoints
- tray596787@direct.ochin.org
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bridgeport, CT
- NPI 1699703686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1205977030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 21ST AVE",
"address_2": "SUITE 40",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805011469",
"telephone_number": "303-776-5520",
"fax_number": "303-776-5522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 21ST AVE",
"address_2": "SUITE 40",
"city": "LONGMONT",
"state": "CO",
"postal_code": "805011469",
"telephone_number": "303-776-5520",
"fax_number": "303-776-5522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "TIMOTHY",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-12",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CO",
"license": "1358",
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "CO",
"license": "1358",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longmont, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.