Active NPI
Kristin M. Rayball, D.C., C.C.S.P.
- Sports Physician Chiropractor
- Fairfield, CT
National Provider Identifier
1760433494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 1556
- Practice address
- 340 Post Rd
Fairfield, CT 06824-6220 - Phone
- (203) 259-3210
- Fax
- (203) 259-3213
- NPI assigned
- May 15, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 1556 | CT | Primary |
Addresses
Primary practice location
340 Post Rd
Fairfield, CT 06824-6220
Mailing address
340 Post Rd
Fairfield, CT 06824-6220
Phone (203) 259-3210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004239803 | Medicaid | CT |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1556 | CT | MD | Addiction (Substance Use Disorder) Counselor |
| 001556 | CT | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chiropractic Associates of Bridgeport | Past | Accepting new patients | |
| Physical Synergy, LLC | Past | Accepting new patients | |
| Chiropractic Associates of Bridgeport, LLC | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Chiropractor
- Bridgeport, CT
- NPI 1033162698
-
- Chiropractor
- Bridgeport, CT
- NPI 1053753335
-
- Chiropractor
- Fairfield, CT
- NPI 1497948533
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291161600000",
"number": "1760433494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 POST RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246220",
"telephone_number": "203-259-3210",
"fax_number": "203-259-3213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 POST RD",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068246220",
"telephone_number": "203-259-3210",
"fax_number": "203-259-3213"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYBALL",
"first_name": "KRISTIN",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.C., C.C.S.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-15",
"last_updated": "2010-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "CT",
"license": "1556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004239803",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.