Active NPI
Raymond D. Clites D.C., P.a.
- Chiropractor
- Brandon, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0004571
- Legal business name
- RAYMOND D. CLITES D.C., P.A.
- Practice address
- 134 N Moon Ave
Brandon, FL 33510-4420 - Phone
- (813) 684-1648
- Fax
- (813) 684-1748
- NPI assigned
- Aug 15, 2008
- Last updated
- Jan 27, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Raymond Dale Clites, D.C.
- Title
- Doctor/Owner
- Phone
- (813) 684-1648
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0004571 | FL | Primary |
Addresses
Primary practice location
134 N Moon Ave
Brandon, FL 33510-4420
Mailing address
134 N Moon Ave
Brandon, FL 33510-4420
Phone (813) 684-1648
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 380271000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
2119 W Brandon Blvd
Ste M
Brandon, FL 33511
Phone (813) 684-1648
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390780800000",
"number": "1790931277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 N MOON AVE",
"city": "BRANDON",
"state": "FL",
"postal_code": "335104420",
"telephone_number": "813-684-1648",
"fax_number": "813-684-1748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 N MOON AVE",
"city": "BRANDON",
"state": "FL",
"postal_code": "335104420",
"telephone_number": "813-684-1648",
"fax_number": "813-684-1748"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAYMOND D. CLITES D.C., P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-15",
"last_updated": "2014-01-27",
"status": "A",
"authorized_official_last_name": "CLITES",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "DALE",
"authorized_official_title_or_position": "DOCTOR/OWNER",
"authorized_official_telephone_number": "813-684-1648",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0004571",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "380271000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.