Active NPI
Shem Ray III, D.C.
- Chiropractor
- Rockwall, TX
National Provider Identifier
1609890102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC7046
- Practice address
- 750 E Interstate 30
Ste 130
Rockwall, TX 75087-5525 - Phone
- (972) 772-2722
- Fax
- (972) 722-1234
- NPI assigned
- Jul 27, 2006
- 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 | DC7046 | TX | Primary |
Addresses
Primary practice location
750 E Interstate 30
Ste 130
Rockwall, TX 75087-5525
Mailing address
750 E Interstate 30
Ste 130
Rockwall, TX 75087-5525
Phone (972) 772-2722
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC7046 | TX | MD | Chiropractor |
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.
-
- Chiropractor
- Rockwall, TX
- NPI 1346350881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228780800000",
"number": "1609890102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 E INTERSTATE 30",
"address_2": "STE 130",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750875525",
"telephone_number": "972-772-2722",
"fax_number": "972-722-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E INTERSTATE 30",
"address_2": "STE 130",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750875525",
"telephone_number": "972-772-2722",
"fax_number": "972-722-1234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "SHEM",
"name_suffix": "III",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2008-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "TX",
"license": "DC7046",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; 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.