Individual provider Active NPI

Raymond Michael Parkhurst, DC

  • Chiropractor
  • Palm Coast, FL
National Provider Identifier
1235314477
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH9371 Issued in FL
Practice address
2 Office Park Dr
Ste a
Palm Coast, FL 32137-3859
Phone
(386) 447-9930
Fax
(386) 447-9931
NPI assigned
Jan 7, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH9371 FL Primary

Addresses

Primary practice location

2 Office Park Dr
Ste a
Palm Coast, FL 32137-3859

Mailing address

2 Office Park Dr
Ste a
Palm Coast, FL 32137-3859
Phone (386) 447-9930

Other identifiers 1

IdentifierTypeStateIssuer
22755OtherFLBCBS OF FLORIDA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080414000591 FL Practitioner - Chiropractic 3678650744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellness One Chiropractic LLCGroup PAC ID 1951478858, 2 clinicians

Practice addresses (Care Compare)

2 Office Park Dr
Suite a
Palm Coast, FL 32137-3859
Phone (386) 447-9930

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness One Chiropractic LLC Chiropractor CurrentSince Sep 15, 2008 Accepting new patients

Locations

2 Office Park Dr
Ste A
Palm Coast, FL 32137
Phone (386) 447-9930

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1235314477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 OFFICE PARK DR",
            "address_2": "STE A",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373859",
            "telephone_number": "386-447-9930",
            "fax_number": "386-447-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 OFFICE PARK DR",
            "address_2": "STE A",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373859",
            "telephone_number": "386-447-9930",
            "fax_number": "386-447-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKHURST",
        "first_name": "RAYMOND",
        "middle_name": "MICHAEL",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-07",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH9371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "22755",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.