Organization Active NPI

Jeffrey E Raheb DC LLC

  • Chiropractor
  • Temple Terrace, FL
National Provider Identifier
1366518649
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7911 Issued in FL
Legal business name
JEFFREY E RAHEB DC LLC
Practice address
10404 N 62ND St
Temple Terrace, FL 33617-3702
Phone
(727) 692-0643
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Authorized official

Name
Dr. Jeffrey E Raheb, DC
Title
President Owner
Phone
(727) 692-0643

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH7911 FL Primary

Addresses

Primary practice location

10404 N 62ND St
Temple Terrace, FL 33617-3702

Mailing address

10404 N 62ND St
Temple Terrace, FL 33617-3702
Phone (727) 692-0643

Other names 1

  • Raheb Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1366518649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10404 N 62ND ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336173702",
            "telephone_number": "727-692-0643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10404 N 62ND ST",
            "city": "TEMPLE TERRACE",
            "state": "FL",
            "postal_code": "336173702",
            "telephone_number": "727-692-0643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY E RAHEB DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "RAHEB",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "727-692-0643",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raheb Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temple Terrace, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.