Organization Active NPI

Ronald a Clifton, DC, PC

  • Chiropractor
  • Lebanon, OR
National Provider Identifier
1023129194
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27-2852 Issued in OR
Legal business name
RONALD A CLIFTON, DC, PC
Practice address
541 Park St
Lebanon, OR 97355-3313
Phone
(541) 451-1290
Fax
(541) 451-1706
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Ronald A Clifton, DCNPI 1760584726
Title
President
Phone
(541) 451-1290

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 27-2852 OR Primary

Addresses

Primary practice location

541 Park St
Lebanon, OR 97355-3313

Mailing address

541 Park St
Lebanon, OR 97355-3313
Phone (541) 451-1290

Other names 1

  • Family Chiropractic Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080121000192 OR Part B Supplier - Clinic/Group Practice 7618058231 Receives reassigned benefits from 1 practitioner
Practice locations: Lebanon, OR

National Provider Directory

National Provider Directory

Locations

541 Park St
Lebanon, OR 97355
Phone (541) 259-1552

Practitioners & affiliated clinicians

Practitioners 1

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1023129194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 PARK ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973553313",
            "telephone_number": "541-451-1290",
            "fax_number": "541-451-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 PARK ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973553313",
            "telephone_number": "541-451-1290",
            "fax_number": "541-451-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD A CLIFTON, DC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "CLIFTON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-451-1290",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-2852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Chiropractic Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lebanon, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.