Active NPI
Edward Charles Raymond, DC
- Chiropractor
- Pittsboro, NC
National Provider Identifier
1679642813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1725
- Practice address
- 358 East St
Pittsboro, NC 27312-9722 - Phone
- (919) 542-6107
- Fax
- (919) 542-6107
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- 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 | 1725 | NC | Primary |
Addresses
Primary practice location
358 East St
Pittsboro, NC 27312-9722
Mailing address
35 Thompson St Ste 205
Pittsboro, NC 27312-5511
Phone (919) 542-6107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8908659 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080923000519 | NC | Practitioner - Chiropractic | 8527044031 | Practice locations: Durham, NC; Pittsboro, NC |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
358 E St
Pittsboro, NC 27312-9722
Phone (919) 542-6107
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1679642813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 THOMPSON ST STE 205",
"city": "PITTSBORO",
"state": "NC",
"postal_code": "273125511",
"telephone_number": "919-542-6107",
"fax_number": "919-490-5455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "358 EAST ST",
"city": "PITTSBORO",
"state": "NC",
"postal_code": "273129722",
"telephone_number": "919-542-6107",
"fax_number": "919-542-6107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMOND",
"first_name": "EDWARD",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NC",
"license": "1725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8908659",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.