Carmel Joy Raihala, DC CCSP

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2512 Issued in WI

Practice address

1804 S Ashland Ave
Green Bay, WI 54304

Phone

(920) 432-7774

Fax

(920) 432-7784

NPI assigned

Aug 19, 2006

Last updated

Jul 26, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Abundant Health Chiropractic, LLC

  • Chiropractor
  • Green Bay, WI
  • NPI 1760713051
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1881709269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 S ASLAND AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54304",
            "telephone_number": "920-432-7774",
            "fax_number": "920-432-7784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 S ASHLAND AVE",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "54304",
            "telephone_number": "920-432-7774",
            "fax_number": "920-432-7784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAIHALA",
        "first_name": "CARMEL",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "DC CCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "2512",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDIARE PIN #",
            "identifier": "P00209325",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38871800",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol A. Rafferty, NP
• Matthew Kyle Rafn, MD
• Brian R Raguse, PA
• Brianna Rahmlow
• Ashok Nand Rai, MD
• Brenna Rainey, PHARMD
• Anne Marie Rainsford, APNP
• Bryahna Rambo, MD
• John Joseph Rank, MD
• Joshua D Rankin, M.D.

• Chiropractor in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; 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.