Active NPI
Robert Ray, DC
- Chiropractor
- Shawnee, KS
National Provider Identifier
1720660640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-05987
- Practice address
- 12307 Johnson Dr
Shawnee, KS 66216-1911 - Phone
- (316) 680-5683
- NPI assigned
- Apr 21, 2021
- 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 | 01-05987 | KS | Primary |
Addresses
Primary practice location
12307 Johnson Dr
Shawnee, KS 66216-1911
Mailing address
12307 Johnson Dr
Shawnee, KS 66216-1911
Phone (316) 680-5683
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-05987 | KS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618963200000",
"number": "1720660640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12307 JOHNSON DR",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662161911",
"telephone_number": "316-680-5683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12307 JOHNSON DR",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662161911",
"telephone_number": "316-680-5683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "ROBERT",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-04-21",
"last_updated": "2021-04-21",
"certification_date": "2021-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "KS",
"license": "01-05987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.