Organization Active NPI

Reaves Chiropractic Health Centre, Inc

  • Chiropractor
  • Newton, NC
National Provider Identifier
1255414637
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1535 Issued in NC
Legal business name
REAVES CHIROPRACTIC HEALTH CENTRE, INC
Practice address
630 W 21St St
Newton, NC 28658-3765
Phone
(828) 464-2080
Fax
(828) 464-2133
NPI assigned
Oct 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Dr. Ray H Reaves, D.C.NPI 1093794471
Title
President
Phone
(828) 464-2080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1535 NC Primary

Addresses

Primary practice location

630 W 21St St
Newton, NC 28658-3765

Mailing address

PO Box 144
Newton, NC 28658-0144
Phone (828) 464-2080

Other identifiers 2

IdentifierTypeStateIssuer
890875AMedicaidNC
0875AOtherNCBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071101000425 NC Part B Supplier - Clinic/Group Practice 6204923618 Receives reassigned benefits from 1 practitioner
Practice locations: Newton, NC

National Provider Directory

National Provider Directory

Locations

630 W 21st St
Newton, NC 28658
Phone (828) 464-2080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1255414637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 144",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286580144",
            "telephone_number": "828-464-2080",
            "fax_number": "828-464-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 W 21ST ST",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286583765",
            "telephone_number": "828-464-2080",
            "fax_number": "828-464-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAVES CHIROPRACTIC HEALTH CENTRE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-22",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "REAVES",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-464-2080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "1535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890875A",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0875A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; 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.

Verify at the official NPI Registry.