Ivan Rayner III, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038.013280 Issued in IL

Practice address

111 N Wabash Ave Ste 1414
Chicago, IL 60602-3070

Phone

(312) 819-4239

NPI assigned

Jan 5, 2016

Reactivated

Dec 19, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Two Hands Chiropractic and Acupuncture, LLC

  • Chiropractor
  • Chicago, IL
  • NPI 1841402732
  NPD

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1932565074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 1414",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023070",
            "telephone_number": "312-819-4239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N WABASH AVE STE 1414",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606023070",
            "telephone_number": "312-819-4239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 N York St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "601262826",
            "country_code": "US",
            "telephone_number": "773-340-2662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAYNER",
        "first_name": "IVAN",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-05",
        "last_updated": "2018-12-20",
        "deactivation_date": "2018-12-10",
        "reactivation_date": "2018-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "277.016927",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038.013280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Raymond L Wright III DDS PC
• Raymond Narh, MD, SC
• Cassandra Marie Raymond
• Julie Raymond, LCPC
• Latashia Nicole Raymond, PSY.D.
• Suzan L Rayner, M.D.
• Andrea Nichole Raynor, MS, RDN. LDN
• Rayo Counseling and Community Co-Op
• Tanisha Jeneice Rayson-Henry, FNP
• Connie Rayyan

• Chiropractor in Chicago, IL
• Providers in Chicago, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.