Individual provider Active NPI

Richard Andrew Laviano, D.C.

  • Chiropractor
  • Raleigh, NC
National Provider Identifier
1407109341
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1995 Issued in NM
Practice address
6009 Falls of Neuse Rd
Raleigh, NC 27609-3525
Phone
(919) 876-9472
Fax
(919) 876-9478
NPI assigned
Oct 16, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1995 NM Primary

Addresses

Primary practice location

6009 Falls of Neuse Rd
Raleigh, NC 27609-3525

Mailing address

6009 Falls of Neuse Rd
Raleigh, NC 27609-3525
Phone (919) 876-9472

Other identifiers 1

IdentifierTypeStateIssuer
1407109341OtherINDIVIDUAL NPI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140221001489 NC Practitioner - Chiropractic 4284885062 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Family and Injury ChiropracticGroup PAC ID 6608153689, 2 clinicians

Practice addresses (Care Compare)

4908 Professional CT
Raleigh, NC 27609-4914
Phone (919) 876-9472

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Family and Injury Chiropractic Chiropractor CurrentSince Apr 6, 2017 Accepting new patients
Carolina Spine and Injury PC Chiropractor CurrentSince Dec 22, 2020 Accepting new patients
Gonstead Family Chiropractic of Albuquerque, P.C. Chiropractor PastSince Sep 21, 2013 Accepting new patients

Locations

1008 Big Oak Ct
Ste A
Knightdale, NC 27545
Phone (919) 266-6416

4908 Professional Ct
Raleigh, NC 27609
Phone (919) 850-2440

6009 Falls of Neuse Rd
Raleigh, NC 27609
Phone (919) 355-8739

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1407109341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6009 FALLS OF NEUSE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093525",
            "telephone_number": "919-876-9472",
            "fax_number": "919-876-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 FALLS OF NEUSE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093525",
            "telephone_number": "919-876-9472",
            "fax_number": "919-876-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIANO",
        "first_name": "RICHARD",
        "middle_name": "ANDREW",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-16",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "1995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1407109341",
            "state": null
        }
    ],
    "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 Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.