Individual provider Active NPI

Raymond Salvatore Manasia, D.C.

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1861401044
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038007565 Issued in IL
Practice address
211 N Clinton St
Suite 2S
Chicago, IL 60661-1282
Phone
(312) 262-7969
Fax
(708) 221-7108
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 038007565 IL Primary

Addresses

Primary practice location

211 N Clinton St
Suite 2S
Chicago, IL 60661-1282

Mailing address

211 N Clinton St
Suite 2S
Chicago, IL 60661-1282
Phone (312) 262-7969

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

LicenseStateTypeSpecialty
038007565ILMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Health Institute, LTD Chiropractor PastSince Dec 9, 2024 Accepting new patients
Fuller Health Group SC Chiropractor Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1861401044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N CLINTON ST",
            "address_2": "SUITE 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611282",
            "telephone_number": "312-262-7969",
            "fax_number": "708-221-7108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N CLINTON ST",
            "address_2": "SUITE 2S",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611282",
            "telephone_number": "312-262-7969",
            "fax_number": "708-221-7108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANASIA",
        "first_name": "RAYMOND",
        "middle_name": "SALVATORE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038007565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.