Ray Chiropractic and Wellness, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RAY CHIROPRACTIC AND WELLNESS, LLC

Practice address

5004 Thompson Ter Ste 102
Colleyville, TX 76034-6130

Phone

(817) 991-1997

NPI assigned

Aug 24, 2020

Last updated

Aug 24, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Fawn Ray, DCNPI 1174542591

Title

Owner

Phone

(817) 991-1997

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Fawn C Ray, DC

  • Chiropractor
  • Colleyville, TX
  • NPI 1174542591
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1598378200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760340452",
            "telephone_number": "817-991-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 THOMPSON TER STE 102",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760346130",
            "telephone_number": "817-991-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY CHIROPRACTIC AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "FAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-991-1997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Radiant Chiropractic PLLC
• Nazeema J Rajabali, DDS
• Rodolfo Carlos Ramirez, D.D.S.
• Gabriela Villa Rangel
• Tabatha Opal Rawal, OT
• Carolyn Elisabeth Ray, CAROLYN RAY, LCSW
• Fawn C Ray, DC
• Daniel Raza, MD
• Christine Read, PA
• Relevant Bond LLC

• Clinic/Center in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.