Individual provider Active NPI

Deborah G Ravinski, D.C.

  • Chiropractor
  • Plymouth, MA
National Provider Identifier
1679603864
Registry record updated Jan 20, 2012
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(14) exclusion effective Jul 20, 2016.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1664 Issued in MA
Practice address
2277 State Rd
Ste 1
Plymouth, MA 02360-7111
Phone
(508) 833-6420
Fax
(508) 833-6421
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1664 MA Primary

Addresses

Primary practice location

2277 State Rd
Ste 1
Plymouth, MA 02360-7111

Mailing address

2277 State Rd
Ste 1
Plymouth, MA 02360-7111
Phone (508) 833-6420

Other identifiers 1

IdentifierTypeStateIssuer
Y36187OtherMABLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1664MAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1679603864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2277 STATE RD",
            "address_2": "STE 1",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607111",
            "telephone_number": "508-833-6420",
            "fax_number": "508-833-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2277 STATE RD",
            "address_2": "STE 1",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023607111",
            "telephone_number": "508-833-6420",
            "fax_number": "508-833-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVINSKI",
        "first_name": "DEBORAH",
        "middle_name": "G",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "1664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y36187",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.