Active NPI
Ronald a Clifton, DC, PC
- Chiropractor
- Lebanon, OR
National Provider Identifier
1023129194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 27-2852
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald A Clifton, DC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Chiropractor
- Lebanon, OR
- NPI 1760584726
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.