Individual provider Active NPI

Raymond G Tolmos, DC

  • Internist Chiropractor
  • Miami, FL
National Provider Identifier
1669799607
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internist ChiropractorTaxonomy code 111NI0900X
License
CH9773 Issued in FL
Practice address
10661 SW 88TH St
Suite 116
Miami, FL 33176-8709
Phone
(786) 353-4325
Fax
(305) 279-8999
NPI assigned
Apr 30, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH 9773 FL
Internist Chiropractor 111NI0900X CH9773 FL Primary

Addresses

Primary practice location

10661 SW 88TH St
Suite 116
Miami, FL 33176-8709

Mailing address

10661 SW 88TH St
Suite 116
Miami, FL 33176-8709
Phone (786) 353-4325

Other identifiers 2

IdentifierTypeStateIssuer
010500000MedicaidFL
DI097YOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100806000118 FL Practitioner - Chiropractic 4587797816

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH 9773FLMDChiropractor
CH9773FLMDInternist Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Furshman and Davis Chiropractic Centers Inc Chiropractor Past Accepting new patients
Furshman and Davis Chiropractic Centers Inc Chiropractor Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1272585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1669799607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10661 SW 88TH ST",
            "address_2": "SUITE 116",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331768709",
            "telephone_number": "786-353-4325",
            "fax_number": "305-279-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10661 SW 88TH ST",
            "address_2": "SUITE 116",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331768709",
            "telephone_number": "786-353-4325",
            "fax_number": "305-279-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLMOS",
        "first_name": "RAYMOND",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-30",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 9773",
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "FL",
            "license": "CH9773",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010500000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "DI097Y",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.