Organization Active NPI

Raymond Chiropractic Inc

  • Chiropractor
  • Tacoma, WA
National Provider Identifier
1396245635
Registry record updated Feb 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002175 Issued in WA
Legal business name
RAYMOND CHIROPRACTIC INC
Practice address
1702 S 72ND St Ste a
Tacoma, WA 98408-1238
Phone
(253) 474-0677
Fax
(253) 474-3540
NPI assigned
Feb 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2018

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

Authorized official

Name
Ms. Virginia Selby
Title
Billing Associate
Phone
(253) 474-0677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00002175 WA Primary

Addresses

Primary practice location

1702 S 72ND St Ste a
Tacoma, WA 98408-1238

Mailing address

1702 S 72ND St Ste a
Tacoma, WA 98408-1238
Phone (253) 474-0677

Other identifiers 2

IdentifierTypeStateIssuer
RA3981OtherREGENCE
0032023OtherWALABOR AND INDUSTRIES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220107000911 WA Part B Supplier - Clinic/Group Practice 7618368309 Receives reassigned benefits from 1 practitioner
Practice locations: Tacoma, WA

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": "1518480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518480000000",
    "number": "1396245635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 S 72ND ST STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984081238",
            "telephone_number": "253-474-0677",
            "fax_number": "253-474-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 S 72ND ST STE A",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984081238",
            "telephone_number": "253-474-0677",
            "fax_number": "253-474-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-13",
        "last_updated": "2018-02-13",
        "status": "A",
        "authorized_official_last_name": "SELBY",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "BILLING ASSOCIATE",
        "authorized_official_telephone_number": "253-474-0677",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE",
            "identifier": "RA3981",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0032023",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2018; 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.