Individual provider Active NPI

Joseph Paul Raley, DC

  • Chiropractor
  • Louisville, KY
National Provider Identifier
1750487583
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
250751 Issued in KY
Practice address
254 Market Place Dr
Louisville, KY 40229-5450
Phone
(502) 955-7246
Fax
(502) 955-1508
NPI assigned
Sep 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internist Chiropractor 111NI0900X 4384 KY
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 250751 KY Primary

Addresses

Primary practice location

254 Market Place Dr
Louisville, KY 40229-5450

Mailing address

254 Market Place Dr
Louisville, KY 40229-5450
Phone (502) 955-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040303000843 KY Practitioner - Chiropractic 3870480841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

254 Market Place Dr
Suite 3
Louisville, KY 40229-5450
Phone (502) 955-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
250751KYMDChiropractor
4384KYMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Today'S Chiropractic, Inc Internist CurrentSince Dec 1, 1999 Accepting new patients

Locations

254 Market Place Dr
Ste 3
Louisville, KY 40229
Phone (502) 955-7246

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1750487583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 MARKET PLACE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295450",
            "telephone_number": "502-955-7246",
            "fax_number": "502-955-1508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 MARKET PLACE DR",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402295450",
            "telephone_number": "502-955-7246",
            "fax_number": "502-955-1508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALEY",
        "first_name": "JOSEPH",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-16",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Internist",
            "state": "KY",
            "license": "4384",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "KY",
            "license": "250751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.