Organization Active NPI

Raymond Chiropractic, LLC

  • Chiropractor
  • Austintown, OH
National Provider Identifier
1962672196
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3890 Issued in OH
Legal business name
RAYMOND CHIROPRACTIC, LLC
Practice address
1440 S Canfield Niles Rd Ste a
Austintown, OH 44515-4040
Phone
(330) 799-4400
Fax
(330) 799-4402
NPI assigned
Mar 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Authorized official

Name
Christopher Alan Raymond, DCNPI 1538339767
Title
Owner
Phone
(330) 799-4400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3890 OH Primary

Addresses

Primary practice location

1440 S Canfield Niles Rd Ste a
Austintown, OH 44515-4040

Mailing address

1440 S Canfield Niles Rd Ste a
Austintown, OH 44515-4040
Phone (330) 799-4400

Other practice location 1

5533 Mahoning Ave
Suite C
Austintown, OH 44515-2366
Phone (330) 799-4400

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080422000796 OH Part B Supplier - Clinic/Group Practice 7012095672 Receives reassigned benefits from 2 practitioners
Practice locations: Austintown, OH

National Provider Directory

National Provider Directory

Locations

5533 Mahoning Ave
Ste C
Austintown, OH 44515
Phone (330) 799-4400

1440 S Canfield Niles Rd
Ste A
Youngstown, OH 44515
Phone (330) 799-4400

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1962672196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 S CANFIELD NILES RD STE A",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445154040",
            "telephone_number": "330-799-4400",
            "fax_number": "330-799-4402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 S CANFIELD NILES RD STE A",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445154040",
            "telephone_number": "330-799-4400",
            "fax_number": "330-799-4402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5533 Mahoning Ave",
            "address_2": "Suite C",
            "address_purpose": "LOCATION",
            "city": "Austintown",
            "state": "OH",
            "postal_code": "445152366",
            "country_code": "US",
            "telephone_number": "330-799-4400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAYMOND CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "RAYMOND",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-799-4400",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.