Individual provider Active NPI

John Michael Raimondo, DC

  • Rehabilitation Chiropractor
  • San Antonio, TX
National Provider Identifier
1770622722
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
8322 Issued in TX
Practice address
1313 SE Military Dr
Ste 107
San Antonio, TX 78214-2800
Phone
(210) 923-9500
Fax
(210) 923-9514
NPI assigned
Feb 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 8322 TX Primary

Addresses

Primary practice location

1313 SE Military Dr
Ste 107
San Antonio, TX 78214-2800

Mailing address

1313 SE Military Dr
Ste 107
San Antonio, TX 78214-2800
Phone (210) 923-9500

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

LicenseStateTypeSpecialty
8322TXMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Imaging, LLC Current Accepting new patients
San Antonio Spine & Rehabilitation, P.a. Current Accepting new patients

Locations

1313 SE Military Dr
Ste 107
San Antonio, TX 78214
Phone (210) 545-9100

Organizations & group practices 2

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770622722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 SE MILITARY DR",
            "address_2": "STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142800",
            "telephone_number": "210-923-9500",
            "fax_number": "210-923-9514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 SE MILITARY DR",
            "address_2": "STE 107",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782142800",
            "telephone_number": "210-923-9500",
            "fax_number": "210-923-9514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIMONDO",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "8322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.