Individual provider Active NPI

Roson Bhupen Ray, DC

  • Chiropractor
  • Rockville, MD
National Provider Identifier
1689181539
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S03958 Issued in MD
Practice address
451 Hungerford Dr Ste 510
Rockville, MD 20850-5103
Phone
(301) 738-1148
NPI assigned
Jan 1, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S03958 MD Primary

Addresses

Primary practice location

451 Hungerford Dr Ste 510
Rockville, MD 20850-5103

Mailing address

20022 Appledowre Cir Apt 23
Germantown, MD 20876-5718

Other identifiers 1

IdentifierTypeStateIssuer
S03958OtherMDSTATE OF MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
S03958MDMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1514764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1689181539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20022 APPLEDOWRE CIR APT 23",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208765718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 HUNGERFORD DR STE 510",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208505103",
            "telephone_number": "301-738-1148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "ROSON",
        "middle_name": "BHUPEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-01",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S03958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF MARYLAND DEPARTMENT OF HEALTH AND MENTAL HYGIENE",
            "identifier": "S03958",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.