Individual provider Active NPI

Raymond Earl Weld, D.C.

  • Chiropractor
  • Dalhart, TX
National Provider Identifier
1215042817
Registry record updated Nov 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
D.C.4307 Issued in TX
Practice address
604 Liberal
Dalhart, TX 79022-3552
Phone
(806) 249-8094
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X D.C.4307 TX Primary

Addresses

Primary practice location

604 Liberal
Dalhart, TX 79022-3552

Mailing address

PO Box 1017
Dalhart, TX 79022-1017
Phone (806) 249-4492

Other identifiers 1

IdentifierTypeStateIssuer
0013062-01MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111228000117 TX Practitioner - Chiropractic 8628244480 Practice locations: Dalhart, TX

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

604 Liberal St
Dalhart, TX 79022-2530
Phone (806) 249-4492

PO Box
Suite 1017
Dalhart, TX 79022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D.C.4307TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1215042817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1017",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790221017",
            "telephone_number": "806-249-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 LIBERAL",
            "city": "DALHART",
            "state": "TX",
            "postal_code": "790223552",
            "telephone_number": "806-249-8094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELD",
        "first_name": "RAYMOND",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "D.C.4307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0013062-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalhart, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.