Active NPI
Deborah G Ravinski, D.C.
- Chiropractor
- Plymouth, MA
National Provider Identifier
1679603864
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.
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1664
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y36187 | Other | MA | BLUE 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.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1664 | MA | MD | Chiropractor |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.