Active NPI
Thomas J Ray, C.P., B.O.C.O
- Specialist
- Chapel Hill, NC
National Provider Identifier
1255471405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- CP003475
- Practice address
- 400 Meadowmont Village Cir
Suite 425
Chapel Hill, NC 27517-7505 - Phone
- (919) 929-5550
- Fax
- (919) 929-5572
- NPI assigned
- Feb 7, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | CP003475 | NC | Primary |
| Specialist | 174400000X | C50369 | NC |
Addresses
Primary practice location
400 Meadowmont Village Cir
Suite 425
Chapel Hill, NC 27517-7505
Mailing address
400 Meadowmont Village Cir
Suite 425
Chapel Hill, NC 27517-7505
Phone (919) 929-5550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7795243 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C50369 | NC | MD | Specialist |
| CP003475 | NC | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319760000000",
"number": "1255471405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 MEADOWMONT VILLAGE CIR",
"address_2": "SUITE 425",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275177505",
"telephone_number": "919-929-5550",
"fax_number": "919-929-5572"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 MEADOWMONT VILLAGE CIR",
"address_2": "SUITE 425",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275177505",
"telephone_number": "919-929-5550",
"fax_number": "919-929-5572"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "THOMAS",
"middle_name": "J",
"credential": "C.P., B.O.C.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-07",
"last_updated": "2011-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "CP003475",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "C50369",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7795243",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.