Active NPI
Jodi S Ray, DC
- Chiropractor
- Milwaukee, WI
National Provider Identifier
1982799474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2732
- Practice address
- 6125 W Capitol Drive
Milwaukee, WI 53216 - Phone
- (414) 536-9022
- Fax
- (414) 536-6688
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- 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 | 2732 | WI | Primary |
Addresses
Primary practice location
6125 W Capitol Drive
Milwaukee, WI 53216
Mailing address
6125 W Capitol Drive
Milwaukee, WI 53216
Phone (414) 536-9022
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38870200 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17040 W Greenfield Ave
Suite 6
Brookfield, WI 53005-6844
Phone (262) 439-8019
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2732 | WI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NSK Precision Healing and Wellness LLC | Current | Accepting new patients |
Locations
17040 W Greenfield Ave
Ste 6
Brookfield, WI 53005
Phone (262) 439-8019
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423440000000",
"number": "1982799474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6125 W CAPITOL DRIVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53216",
"telephone_number": "414-536-9022",
"fax_number": "414-536-6688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6125 W CAPITOL DRIVE",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "53216",
"telephone_number": "414-536-9022",
"fax_number": "414-536-6688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAY",
"first_name": "JODI",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2015-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "2732",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "38870200",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milwaukee, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.