Organization Active NPI

Jennifer Ray, DC, PLLC

  • Chiropractor
  • Lakewood, WA
National Provider Identifier
1497923494
Registry record updated Feb 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003663 Issued in WA
Legal business name
JENNIFER RAY, DC, PLLC
Practice address
6302 93Rd St SW
Lakewood, WA 98499-2408
Phone
(253) 983-9363
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2009

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

Authorized official

Name
Dr. Jennifer M Ray, DCNPI 1881765022
Title
Owner
Phone
(253) 983-9363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X CH00003663 WA Primary

Addresses

Primary practice location

6302 93Rd St SW
Lakewood, WA 98499-2408

Mailing address

6302 93Rd St SW
Lakewood, WA 98499-2408
Phone (253) 983-9363

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040318000371 WA Part B Supplier - Clinic/Group Practice 5890685390 Receives reassigned benefits from 1 practitioner
Practice locations: Lakewood, WA

National Provider Directory

National Provider Directory

Locations

6302 93rd St SW
Lakewood, WA 98499
Phone (253) 640-3146

10100 Bridgeport Way SW
Lakewood, WA 98499
Phone (253) 861-0850

Practitioners & affiliated clinicians

Practitioners 3

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": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233878400000",
    "number": "1497923494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6302 93RD ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992408",
            "telephone_number": "253-983-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6302 93RD ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984992408",
            "telephone_number": "253-983-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER RAY, DC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2009-02-06",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-983-9363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; 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.