Active NPI
Jamie Todd Raymond, D.C.
- Chiropractor
- Portland, ME
National Provider Identifier
1801824800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CR1229
- Practice address
- 650 Brighton Ave
Portland, ME 04102-1035 - Phone
- (207) 773-4651
- Fax
- (207) 773-8940
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CR1229 | ME | Primary |
Addresses
Primary practice location
650 Brighton Ave
Portland, ME 04102-1035
Mailing address
611 Brighton Ave
Portland, ME 04102-2322
Phone (207) 773-4651
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 134700000 | Medicaid | ME |
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 |
|---|---|---|---|
| CR1229 | ME | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306627200000",
"number": "1801824800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 BRIGHTON AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041022322",
"telephone_number": "207-773-4651",
"fax_number": "207-773-8940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 BRIGHTON AVE",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041021035",
"telephone_number": "207-773-4651",
"fax_number": "207-773-8940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYMOND",
"first_name": "JAMIE",
"middle_name": "TODD",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2011-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "ME",
"license": "CR1229",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "134700000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.