Organization Active NPI

Raymond G Nietzold DC, PA

  • Orthopedic Chiropractor
  • Clearwater, FL
National Provider Identifier
1598203283
Registry record updated Feb 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
CH0004038 Issued in FL
Legal business name
RAYMOND G NIETZOLD DC, PA
Practice address
1745 S Highland Ave Ste 2
Clearwater, FL 33756-1852
Phone
(727) 585-4488
NPI assigned
Feb 2, 2017
Last updated
Feb 2, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2017

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

Authorized official

Name
Dr. Raymond George Nietzold, D.C.
Title
President
Phone
(727) 585-4488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X CH0004038 FL Primary

Addresses

Primary practice location

1745 S Highland Ave Ste 2
Clearwater, FL 33756-1852

Mailing address

1745 S Highland Ave Ste 2
Clearwater, FL 33756-1852
Phone (727) 585-4488

National Provider Directory

National Provider Directory

Locations

1745 S Highland Ave
Ste 2
Clearwater, FL 33756
Phone (727) 585-4488

NPI Registry JSON

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485993600000",
    "number": "1598203283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1745 S HIGHLAND AVE STE 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337561852",
            "telephone_number": "727-585-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 S HIGHLAND AVE STE 2",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337561852",
            "telephone_number": "727-585-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND G NIETZOLD DC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A",
        "authorized_official_last_name": "NIETZOLD",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-585-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "FL",
            "license": "CH0004038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.