Active NPI
Merrill Augustine Raye, D.C.
- Chiropractor
- Ottawa, OH
National Provider Identifier
1891774782
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 416
- Practice address
- 139 South Walnut Street
Ottawa, OH 45875 - Phone
- (419) 523-6927
- Fax
- (419) 523-6927
- NPI assigned
- Jan 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 416 | OH | Primary |
Addresses
Primary practice location
139 South Walnut Street
Ottawa, OH 45875
Mailing address
139 South Walnut Street
Ottawa, OH 45875
Phone (419) 523-6927
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350000933 | Other | GA | RAILROAD MEDICARE |
| 340902671 00 | Other | OH | WORKERS COMP |
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 |
|---|---|---|---|
| 416 | OH | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1450742400000",
"number": "1891774782",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 SOUTH WALNUT STREET",
"city": "OTTAWA",
"state": "OH",
"postal_code": "45875",
"telephone_number": "419-523-6927",
"fax_number": "419-523-6927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 SOUTH WALNUT STREET",
"city": "OTTAWA",
"state": "OH",
"postal_code": "45875",
"telephone_number": "419-523-6927",
"fax_number": "419-523-6927"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYE",
"first_name": "MERRILL",
"middle_name": "AUGUSTINE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-10",
"last_updated": "2015-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "416",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "350000933",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP",
"identifier": "340902671 00",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ottawa, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.