Individual provider Active NPI

Raymond K Barry, D.C.

  • Chiropractor
  • Pasadena, MD
National Provider Identifier
1952590986
Registry record updated Apr 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
S01558 Issued in MD
Practice address
8096 Edwin Raynor Blvd Ste a
Pasadena, MD 21122-6837
Phone
(410) 360-0014
Fax
(410) 360-0064
NPI assigned
Oct 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X S01558 MD Primary

Addresses

Primary practice location

8096 Edwin Raynor Blvd Ste a
Pasadena, MD 21122-6837

Mailing address

8096 Edwin Raynor Blvd Ste a
Pasadena, MD 21122-6837
Phone (410) 360-0014

Other identifiers 5

IdentifierTypeStateIssuer
KE24OtherMDBCBS OF MD
353259OtherMDMAMSI
2184080OtherMDAETNA
629389OtherMDACN
0001OtherDCBCBS OF DC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324001288 MD Practitioner - Chiropractic 7315838547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8096 Edwin Raynor Blvd
Suite a
Pasadena, MD 21122-6837

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pasadena Neck and Back Pain Center LLC Chiropractor CurrentSince May 1, 1998 Accepting new patients

Locations

8096 Edwin Raynor Blvd
Ste A
Pasadena, MD 21122
Phone (410) 360-0014

2512 Mountain Rd
Pasadena, MD 21122
Phone (410) 360-0014

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": "1192492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335312000000",
    "number": "1952590986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8096 EDWIN RAYNOR BLVD STE A",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226837",
            "telephone_number": "410-360-0014",
            "fax_number": "410-360-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8096 EDWIN RAYNOR BLVD STE A",
            "city": "PASADENA",
            "state": "MD",
            "postal_code": "211226837",
            "telephone_number": "410-360-0014",
            "fax_number": "410-360-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRY",
        "first_name": "RAYMOND",
        "middle_name": "K",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-16",
        "last_updated": "2012-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MD",
            "license": "S01558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MD",
            "identifier": "KE24",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "353259",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2184080",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN",
            "identifier": "629389",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF DC",
            "identifier": "0001",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; 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.