Organization Active NPI

Hilton C Ray MDPC

  • Family Medicine Physician
  • Lamar, CO
National Provider Identifier
1629016548
Registry record updated Oct 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HILTON C RAY MDPC
Practice address
109 Lee Ave
Suite15
Lamar, CO 81052-3717
Phone
(719) 336-9115
NPI assigned
Jun 3, 2006
Last updated
Oct 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2007

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

Authorized official

Name
Hilton C Ray, MD
Title
President
Phone
(719) 336-9115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

109 Lee Ave
Suite15
Lamar, CO 81052-3717

Mailing address

109 Lee Ave
Suite15
Lamar, CO 81052-3717
Phone (719) 336-9115

Other identifiers 3

IdentifierTypeStateIssuer
HI40452OtherCOBLUE SHIELD
DB5771OtherCORAILROAD MEDICARE
27527310MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1629016548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 LEE AVE",
            "address_2": "SUITE15",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523717",
            "telephone_number": "719-336-9115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 LEE AVE",
            "address_2": "SUITE15",
            "city": "LAMAR",
            "state": "CO",
            "postal_code": "810523717",
            "telephone_number": "719-336-9115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILTON C RAY MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "HILTON",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-336-9115",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "HI40452",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DB5771",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27527310",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lamar, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.