Individual provider Active NPI

Paul Michael Raymond, D.C.

  • Occupational Health Chiropractor
  • Houston, TX
National Provider Identifier
1457348997
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health ChiropractorTaxonomy code 111NX0100X
License
9196 Issued in TX
Practice address
11100 Southwest Fwy
Houston, TX 77031
Phone
(713) 771-2225
Fax
(713) 771-1876
NPI assigned
Sep 30, 2005
Reactivated
Jun 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Chiropractor 111NX0100X 9196 TX Primary
Chiropractor 111N00000X 9196 TX

Addresses

Primary practice location

11100 Southwest Fwy
Houston, TX 77031

Mailing address

11100 Southwest Fwy
Houston, TX 77031-3602
Phone (713) 771-2225

Other practice location 1

12941 North Fwy Ste 216
Houston, TX 77060-1241
Phone (713) 771-2225

Other identifiers 1

IdentifierTypeStateIssuer
8M8542OtherTXBCBS NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101210000127 TX Practitioner - Chiropractic 4082697313 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Injury Specialist Associates, P.a. Occupational Health PastSince Dec 3, 2003 Accepting new patients
Oakbend Medical Center Past Accepting new patients
Sterling Therapy & Rehabilitation, PLLC PastSince May 28, 2008 Accepting new patients

Organizations & group practices 4

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1457348997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 SOUTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770313602",
            "telephone_number": "713-771-2225",
            "fax_number": "713-771-1876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 SOUTHWEST FWY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77031",
            "telephone_number": "713-771-2225",
            "fax_number": "713-771-1876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12941 North Fwy Ste 216",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770601241",
            "country_code": "US",
            "telephone_number": "713-771-2225",
            "fax_number": "713-771-1876",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "PAUL",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2024-06-07",
        "certification_date": "2020-11-13",
        "deactivation_date": "2024-05-23",
        "reactivation_date": "2024-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "TX",
            "license": "9196",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9196",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "8M8542",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.