Active NPI
Ray Todd Drury, D.C.
- Chiropractor
- Charlotte, NC
National Provider Identifier
1457398174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2039
- Practice address
- 2550 W Arrowood Rd
Suite 104
Charlotte, NC 28273-6651 - Phone
- (704) 588-5560
- Fax
- (704) 588-4919
- NPI assigned
- Jun 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2039 | NC | Primary |
Addresses
Primary practice location
2550 W Arrowood Rd
Suite 104
Charlotte, NC 28273-6651
Mailing address
2550 W Arrowood Rd
Suite 104
Charlotte, NC 28273-6651
Phone (704) 588-5560
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890825P | Medicaid | NC | |
| P00081746 | Other | NC | RAILROAD MEDICARE NC |
| 0825P | Other | NC | BLUE CROSS BLUE SHIELD OF |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1993
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2550 W Arrowood Rd
Suite 104
Charlotte, NC 28273-6133
Phone (704) 588-5560
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2039 | NC | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Upper Cervical Clinic, Inc. | Chiropractor | Current | Accepting new patients |
Locations
2550 W Arrowood Rd
Ste 104
Charlotte, NC 28273
Phone (704) 532-7576
2550 W Arrowood Rd
Charlotte, NC 28273
Phone (704) 522-8000
Organizations & group practices 1
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.
-
- Chiropractor
- Charlotte, NC
- NPI 1497796890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204675200000",
"number": "1457398174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 W ARROWOOD RD",
"address_2": "SUITE 104",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282736651",
"telephone_number": "704-588-5560",
"fax_number": "704-588-4919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 W ARROWOOD RD",
"address_2": "SUITE 104",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282736651",
"telephone_number": "704-588-5560",
"fax_number": "704-588-4919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRURY",
"first_name": "RAY",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-01",
"last_updated": "2008-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "2039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890825P",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NC",
"identifier": "P00081746",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF",
"identifier": "0825P",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; 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.