Organization Active NPI

Thomas R. Ayres, DC, PA

  • Sports Physician Chiropractor
  • Raleigh, NC
National Provider Identifier
1366548984
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1566 Issued in NC
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

Updated by the provider on Apr 23, 2008

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)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
8908218MedicaidNC
652286OtherNCUNITED HEALTH CARE
4328947OtherNCCIGNA
561971088OtherNCCNC
08218OtherNCBCBS
330018OtherNCACN
4636918OtherNCAETNA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080306000658 NC Part B Supplier - Clinic/Group Practice 2668557299 Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.