NPIMap

Organization Active NPI

Rayburn Chiropractic Clinic, P.C.

  • Chiropractor
  • Camp Verde, AZ
National Provider Identifier
1700047040
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2005 Issued in AZ
Legal business name
RAYBURN CHIROPRACTIC CLINIC, P.C.
Practice address
522 W Finnie Flats Rd
Suite I
Camp Verde, AZ 86322-7265
Phone
(928) 567-1757
Fax
(928) 567-1722
NPI assigned
Jun 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Authorized official

Name
Dr. Leo Gene Rayburn, D.C.
Title
Owner
Phone
(928) 567-1757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2005 AZ Primary

Addresses

Primary practice location

522 W Finnie Flats Rd
Suite I
Camp Verde, AZ 86322-7265

Mailing address

PO Box 1680
Camp Verde, AZ 86322-1680
Phone (928) 567-1757

National Provider Directory

National Provider Directory

Locations

522 W Finnie Flat Rd
Ste I
Camp Verde, AZ 86322
Phone (928) 567-1757

NPI Registry JSON

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265328000000",
    "number": "1700047040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1680",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863221680",
            "telephone_number": "928-567-1757",
            "fax_number": "928-567-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 W FINNIE FLATS RD",
            "address_2": "SUITE I",
            "city": "CAMP VERDE",
            "state": "AZ",
            "postal_code": "863227265",
            "telephone_number": "928-567-1757",
            "fax_number": "928-567-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYBURN CHIROPRACTIC CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2010-02-05",
        "status": "A",
        "authorized_official_last_name": "RAYBURN",
        "authorized_official_first_name": "LEO",
        "authorized_official_middle_name": "GENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-567-1757",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "2005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Verde, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; 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.