Organization Active NPI

Ray Humphrey D.C. PLLC

  • Chiropractor
  • Bedford, NH
National Provider Identifier
1609854546
Registry record updated Aug 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
630-0401 Issued in NH
Legal business name
RAY HUMPHREY D.C. PLLC
Practice address
40 South River Road
Unit 54
Bedford, NH 03110-6751
Phone
(603) 669-3428
Fax
(603) 669-3418
NPI assigned
Jan 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2014

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

Authorized official

Name
Ray Humphrey, D.C., PLLCNPI 1023010501
Title
Owner
Phone
(603) 669-3428

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 630-0401 NH Primary

Addresses

Primary practice location

40 South River Road
Unit 54
Bedford, NH 03110-6751

Mailing address

40 South River Road
Unit 54
Bedford, NH 03110-6751
Phone (603) 669-3428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060614000088 NH Practitioner - Chiropractic 9133130438 Reassigns benefits to 1 organization
1 other NPI on this enrollment
O20130627000264 NH Part B Supplier - Clinic/Group Practice 1355352667 Receives reassigned benefits from 1 practitioner
Practice locations: Bedford, NH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

40 S River Rd
Unit 54
Bedford, NH 03110
Phone (603) 203-3185

Practitioners & affiliated clinicians

Practitioners 1

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": "1136073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408665600000",
    "number": "1609854546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SOUTH RIVER ROAD",
            "address_2": "UNIT 54",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106751",
            "telephone_number": "603-669-3428",
            "fax_number": "603-669-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SOUTH RIVER ROAD",
            "address_2": "UNIT 54",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106751",
            "telephone_number": "603-669-3428",
            "fax_number": "603-669-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAY HUMPHREY D.C. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-01",
        "last_updated": "2014-08-22",
        "status": "A",
        "authorized_official_last_name": "HUMPHREY",
        "authorized_official_first_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-669-3428",
        "authorized_official_credential": "D.C., PLLC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NH",
            "license": "630-0401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2014; 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.