Active NPI
Kevin Jeremy Raef, D.C.
- Chiropractor
- Amarillo, TX
National Provider Identifier
1528348505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 11299
- Practice address
- 5701 W Interstate 40
Amarillo, TX 79106-4619 - Phone
- (806) 358-3595
- Fax
- (806) 358-4647
- NPI assigned
- Aug 23, 2011
- 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 | 11299 | TX | Primary |
Addresses
Primary practice location
5701 W Interstate 40
Amarillo, TX 79106-4619
Mailing address
5701 W Interstate 40
Amarillo, TX 79106-4619
Phone (806) 358-3595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5701 W Interstate 40
Precision Chiropractic
Amarillo, TX 79106-4619
Phone (806) 358-3595
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11299 | TX | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Texas Multicare | Chiropractor | Current | Accepting new patients |
Locations
5701 W Interstate 40
Amarillo, TX 79106
Phone (405) 358-3595
7 Medical Dr
Amarillo, TX 79106
Phone (806) 355-9355
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1528348505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 W INTERSTATE 40",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791064619",
"telephone_number": "806-358-3595",
"fax_number": "806-358-4647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5701 W INTERSTATE 40",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791064619",
"telephone_number": "806-358-3595",
"fax_number": "806-358-4647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAEF",
"first_name": "KEVIN",
"middle_name": "JEREMY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-23",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "11299",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.