Active NPI
Thomas R. Ayres, DC, PA
- Sports Physician Chiropractor
- Raleigh, NC
National Provider Identifier
1366548984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 1566
- Legal business name
- THOMAS R. AYRES, DC, PA
- Practice address
- 6837 Falls of Neuse Rd
Suite 106
Raleigh, NC 27615-5308 - Phone
- (919) 846-0100
- Fax
- (919) 846-3695
- NPI assigned
- Sep 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas Robert Ayres, DC
- Title
- President
- Phone
- (919) 846-0100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 1566 | NC | Primary |
Addresses
Primary practice location
6837 Falls of Neuse Rd
Suite 106
Raleigh, NC 27615-5308
Mailing address
6837 Falls of Neuse Rd
Suite 106
Raleigh, NC 27615-5308
Phone (919) 846-0100
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8908218 | Medicaid | NC | |
| 652286 | Other | NC | UNITED HEALTH CARE |
| 4328947 | Other | NC | CIGNA |
| 561971088 | Other | NC | CNC |
| 08218 | Other | NC | BCBS |
| 330018 | Other | NC | ACN |
| 4636918 | Other | NC | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080306000658 | NC | Part B Supplier - Clinic/Group Practice | 2668557299 | Practice locations: Raleigh, NC |
National Provider Directory
National Provider DirectoryLocations
6837 Falls of Neuse Rd
Raleigh, NC 27615
Phone (919) 606-1033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208908800000",
"number": "1366548984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6837 FALLS OF NEUSE RD",
"address_2": "SUITE 106",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276155308",
"telephone_number": "919-846-0100",
"fax_number": "919-846-3695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6837 FALLS OF NEUSE RD",
"address_2": "SUITE 106",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276155308",
"telephone_number": "919-846-0100",
"fax_number": "919-846-3695"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS R. AYRES, DC, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2008-04-23",
"status": "A",
"authorized_official_last_name": "AYRES",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "919-846-0100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": "NC",
"license": "1566",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908218",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "652286",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4328947",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CNC",
"identifier": "561971088",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "08218",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "330018",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4636918",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.