Provider Demographics
NPI:1164467304
Name:RAYFIELD, DENNIS SCOTT (DC)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:SCOTT
Last Name:RAYFIELD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 ALPHA DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75081-6626
Mailing Address - Country:US
Mailing Address - Phone:469-628-6399
Mailing Address - Fax:972-744-0606
Practice Address - Street 1:811 ALPHA DR
Practice Address - Street 2:SUITE 301
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75081-6626
Practice Address - Country:US
Practice Address - Phone:469-628-6399
Practice Address - Fax:972-744-0606
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6250111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU48609Medicare UPIN