Organization Active NPI

Ray a. Pevey Chiropractic a Professional Corporation

  • Chiropractor
  • Arcadia, CA
National Provider Identifier
1356641971
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
16023 Issued in CA
Legal business name
RAY A. PEVEY CHIROPRACTIC A PROFESSIONAL CORPORATION
Practice address
423 South First Ave
Arcadia, CA 91006-3831
Phone
(626) 447-4442
Fax
(626) 447-2835
NPI assigned
Oct 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Authorized official

Name
Dr. Ray A. Pevey, DCNPI 1629201215
Title
Chiropractor
Phone
(626) 447-4442

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 16023 CA Primary

Addresses

Primary practice location

423 South First Ave
Arcadia, CA 91006-3831

Mailing address

423 S 1St Ave
Arcadia, CA 91006-3830
Phone (626) 437-5411

Other names 2

  • Arcadia Chiropractic Center Doing business as
  • Ray A. Pevey Chiropractic A Professional Corporation Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101220000557 CA Part B Supplier - Clinic/Group Practice 7618165531 Receives reassigned benefits from 1 practitioner
Practice locations: Arcadia, CA

National Provider Directory

National Provider Directory

Locations

423 S 1st Ave
Arcadia, CA 91006
Phone (626) 447-4442

Practitioners & affiliated clinicians

Practitioners 2

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": "1288310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665360000000",
    "number": "1356641971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 S 1ST AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063830",
            "telephone_number": "626-437-5411",
            "fax_number": "626-447-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 SOUTH FIRST AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063831",
            "telephone_number": "626-447-4442",
            "fax_number": "626-447-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY A. PEVEY CHIROPRACTIC A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-29",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "PEVEY",
        "authorized_official_first_name": "RAY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "626-447-4442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "16023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arcadia Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Arcadia Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ray A. Pevey Chiropractic A Professional Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2022; 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.