Individual provider Active NPI

Matthew David Rayis, DC

  • Chiropractor
  • Clarkston, MI
National Provider Identifier
1942070461
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301401460 Issued in MI
Practice address
6507 Town Center Dr Ste F
Clarkston, MI 48346-4826
Phone
(248) 625-7600
NPI assigned
Jan 5, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2301401460 MI Primary

Addresses

Primary practice location

6507 Town Center Dr Ste F
Clarkston, MI 48346-4826

Mailing address

6507 Town Center Dr Ste F
Clarkston, MI 48346-4826
Phone (248) 625-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240216001337 MI Practitioner - Chiropractic 9032553128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pro-Active Chiropractic and Wellness II PCGroup PAC ID 0244639185, 2 clinicians

Practice addresses (Care Compare)

6507 Town Ctr Dr
Suite F
Clarkston, MI 48346-4826
Phone (248) 625-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2301401460MIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pro-Active Chiropractic & Wellness, II PC Chiropractor CurrentSince Feb 1, 2024 Accepting new patients

Locations

6507 Town Center Dr
Ste F
Clarkston, MI 48346
Phone (248) 625-7600

Organizations & group practices 1

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": "1704412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1942070461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6507 TOWN CENTER DR STE F",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464826",
            "telephone_number": "248-625-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6507 TOWN CENTER DR STE F",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464826",
            "telephone_number": "248-625-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYIS",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-05",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301401460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.