Active NPI
Raymond K Barry, D.C.
- Chiropractor
- Pasadena, MD
National Provider Identifier
1952590986
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- S01558
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KE24 | Other | MD | BCBS OF MD |
| 353259 | Other | MD | MAMSI |
| 2184080 | Other | MD | AETNA |
| 629389 | Other | MD | ACN |
| 0001 | Other | DC | BCBS OF DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pasadena Neck and Back Pain Center LLC | Chiropractor | Current | 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.
-
- Chiropractor
- Pasadena, MD
- NPI 1235122086
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.