NPIMap

Organization Active NPI

Stephen D Raines,

  • Durable Medical Equipment & Medical Supplies
  • Union City, TN
National Provider Identifier
1962618488
Registry record updated Jun 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
DPM217 Issued in TN
Legal business name
STEPHEN D RAINES,
Practice address
1415 E Reelfoot Ave
Union City, TN 38261-5812
Phone
(731) 885-0220
Fax
(731) 885-0216
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2009

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

Authorized official

Name
Dr. Stephen D Raines, DPM
Title
Owner
Phone
(731) 885-0220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X DPM217 TN Primary

Addresses

Primary practice location

1415 E Reelfoot Ave
Union City, TN 38261-5812

Mailing address

1415 E Reelfoot Ave
Union City, TN 38261-5812
Phone (731) 885-0220

Other identifiers 1

IdentifierTypeStateIssuer
110309001OtherTNDME SUPPLIER NUMBER

Other names 1

  • Stephen D Raines DPM Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Stephen D Raines4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245628800000",
    "number": "1962618488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 E REELFOOT AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615812",
            "telephone_number": "731-885-0220",
            "fax_number": "731-885-0216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E REELFOOT AVE",
            "city": "UNION CITY",
            "state": "TN",
            "postal_code": "382615812",
            "telephone_number": "731-885-0220",
            "fax_number": "731-885-0216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN D RAINES,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2009-06-22",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-885-0220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "DPM217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME SUPPLIER  NUMBER",
            "identifier": "110309001",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen D Raines DPM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union City, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; 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.