Active NPI
Reaves Chiropractic Health Centre, Inc
- Chiropractor
- Newton, NC
National Provider Identifier
1255414637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1535
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890875A | Medicaid | NC | |
| 0875A | Other | NC | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071101000425 | NC | Part B Supplier - Clinic/Group Practice | 6204923618 |
Receives reassigned benefits from 1 practitioner Practice locations: Newton, NC |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Newton, NC
- NPI 1093794471
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.