W Raymond Chavez, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3747 Issued in NC

Practice address

462 Main St
Ste C
Canton, NC 28716-4487

Phone

(828) 681-0811

NPI assigned

Apr 25, 2008

Last updated

Aug 11, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Wallace Raymond Chavez Other name

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1997

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1275708703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 MAIN ST",
            "address_2": "STE C",
            "city": "CANTON",
            "state": "NC",
            "postal_code": "287164487",
            "telephone_number": "828-648-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 MAIN ST",
            "address_2": "STE C",
            "city": "CANTON",
            "state": "NC",
            "postal_code": "287164487",
            "telephone_number": "828-681-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "W",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-25",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WALLACE",
            "last_name": "CHAVEZ",
            "middle_name": "RAYMOND",
            "prefix": "DR.",
            "credential": "DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tammie Cagle, PTA
• Canton Physical Therapy LLC
• Joshua Daniel Carpenter, RRT
• Alexandra Chamberlain, FNP-C
• Chappell Valley Cottage
• Natosha E Cook, COTA/L
• Eddie Ray Davenport III, LCSW
• Jennifer Lynn Davis, FNP
• Ariana Debussey, PHARMD
• Gretchen Merritt Denton, CCC-SLP

• Chiropractor in Canton, NC
• Providers in Canton, NC by specialty
• Chiropractor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.