Individual provider Active NPI

David Ravdin, DC

  • Chiropractor
  • Auburn, AL
National Provider Identifier
1265041271
Registry record updated Jul 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2645 Issued in AL
Practice address
323 Airport Rd Ste a
Auburn, AL 36830-5701
Phone
(334) 246-2252
Fax
(888) 505-3765
NPI assigned
Jul 26, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2645 AL Primary

Addresses

Primary practice location

323 Airport Rd Ste a
Auburn, AL 36830-5701

Mailing address

323 Airport Rd Ste a
Auburn, AL 36830-5701
Phone (334) 246-2252

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220420001350 TX Practitioner - Chiropractic 6002226941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Compassion Family Chiropractic, LLCGroup PAC ID 0941696736, 2 clinicians

Practice addresses (Care Compare)

401 N Valley Pkwy
Suite 370
Lewisville, TX 75067-3921
Phone (469) 240-2322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2645ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion Family Chiropractic, LLC Chiropractor CurrentSince May 31, 2022 Accepting new patients

Locations

401 N Valley Pkwy
Ste 370
Lewisville, TX 75067
Phone (469) 240-2322

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": "1595721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595721600000",
    "number": "1265041271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 AIRPORT RD STE A",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305701",
            "telephone_number": "334-246-2252",
            "fax_number": "888-505-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 AIRPORT RD STE A",
            "city": "AUBURN",
            "state": "AL",
            "postal_code": "368305701",
            "telephone_number": "334-246-2252",
            "fax_number": "888-505-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVDIN",
        "first_name": "DAVID",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-26",
        "last_updated": "2020-07-26",
        "certification_date": "2020-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AL",
            "license": "2645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2020; 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.