Individual provider Active NPI

Kenneth Patrick Ray, D.C.

  • Chiropractor
  • Thornton, CO
National Provider Identifier
1790714004
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2765 Issued in CO
Practice address
550 Thornton Pkwy
Suite 178
Thornton, CO 80229-2100
Phone
(303) 254-8430
Fax
(303) 254-8235
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2765 CO Primary

Addresses

Primary practice location

550 Thornton Pkwy
Suite 178
Thornton, CO 80229-2100

Mailing address

550 Thornton Pkwy
Suite 178
Thornton, CO 80229-2166
Phone (303) 254-8430

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050111000328 CO Practitioner - Chiropractic 8820046436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1987
Medicare assignment
May accept Medicare assignment
Group practices
Chiropractic Plus P.C.Group PAC ID 5395733570, 2 clinicians

Practice addresses (Care Compare)

550 E Thornton Pkwy
Suite 178
Thornton, CO 80229-2166

550 Thornton Pkwy
Thornton, CO 80229-2166
Phone (303) 254-8430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2765COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Plus, PC Chiropractor CurrentSince Nov 1, 1987 Accepting new patients

Locations

550 Thornton Pkwy
Unit 178
Thornton, CO 80229
Phone (303) 254-8430

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1790714004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 THORNTON PKWY",
            "address_2": "SUITE 178",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292166",
            "telephone_number": "303-254-8430",
            "fax_number": "303-254-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 THORNTON PKWY",
            "address_2": "SUITE 178",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "802292100",
            "telephone_number": "303-254-8430",
            "fax_number": "303-254-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAY",
        "first_name": "KENNETH",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "2765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.