Paul Edward Ralston, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3958-012 Issued in WI

Practice address

13730 W Greenfield Ave
Brookfield, WI 53005-7115

Phone

(262) 244-7600

NPI assigned

Feb 6, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Logan College of Chiropractic, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• IL HMO C-SNP
• IL PPO Downstate
• devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

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.

• One Source Wellness & Chiropractic

  • Massage Therapist
  • Brookfield, WI
  • NPI 1467231753
  NPD Authorized official
• Ralston Chiropractic

  • Chiropractor
  • Muskego, WI
  • NPI 1669591137
  NPD (past) Authorized official
• Chiropractic Company - Mke Downtown LTD

  • Chiropractor
  • Milwaukee, WI
  • NPI 1750323242
  NPD (past)

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1003955873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10731 W FOREST HOME AVE",
            "city": "HALES CORNERS",
            "state": "WI",
            "postal_code": "531302555",
            "telephone_number": "414-529-4600",
            "fax_number": "414-529-4689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13730 W GREENFIELD AVE",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530057115",
            "telephone_number": "262-244-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALSTON",
        "first_name": "PAUL",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "3958-012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38947700",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joshua Radl, PHARMD
• Rae Holdings, LTD
• Shahnaz Rahman
• Mary M. Rajala, M.D.
• Adam Ralph
• Makayla Ramsey
• Margaret R. Rangel, PA-C
• Andrew David Rapinchuk, LCSW, SAC-IT
• Olivia Rae Rashed
• Richard J. Rather, PA-C

• Chiropractor in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.

Verify at the official NPI Registry.