Individual provider Active NPI

Christopher Alan Raymond, D.C.

  • Chiropractor
  • Austintown, OH
National Provider Identifier
1538339767
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3890 Issued in OH
Practice address
1440 S Canfield Niles Rd Ste a
Austintown, OH 44515-4040
Phone
(330) 799-4400
Fax
(330) 799-4402
NPI assigned
Mar 4, 2008
Last updated
Feb 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3890 OH Primary

Addresses

Primary practice location

1440 S Canfield Niles Rd Ste a
Austintown, OH 44515-4040

Mailing address

1440 S Canfield Niles Rd Ste a
Austintown, OH 44515-4040
Phone (330) 799-4400

Other practice location 1

5533 Mahoning Ave
Suite C
Austintown, OH 44515-2366
Phone (330) 799-4400

Other identifiers 1

IdentifierTypeStateIssuer
2988469MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080422000609 OH Practitioner - Chiropractic 0941388581 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raymond Chiropractic, LLCGroup PAC ID 7012095672, 2 clinicians

Practice addresses (Care Compare)

1440 S Canfield Niles Rd
Suite a
Austintown, OH 44515-4087
Phone (330) 799-4400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3890OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond Chiropractic, LLC Chiropractor CurrentSince May 1, 2008 Accepting new patients

Locations

5533 Mahoning Ave
Ste C
Austintown, OH 44515
Phone (330) 799-4400

1440 S Canfield Niles Rd
Ste A
Youngstown, OH 44515
Phone (330) 799-4400

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1538339767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 S CANFIELD NILES RD STE A",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445154040",
            "telephone_number": "330-799-4400",
            "fax_number": "330-799-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 S CANFIELD NILES RD STE A",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445154040",
            "telephone_number": "330-799-4400",
            "fax_number": "330-799-4402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5533 Mahoning Ave",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Austintown",
            "state": "OH",
            "postal_code": "445152366",
            "country_code": "US",
            "telephone_number": "330-799-4400",
            "fax_number": "330-799-4402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYMOND",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-04",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2988469",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; 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.