Active NPI
Ronnie Lee Douglas, DC
- Chiropractor
- Tumwater, WA
National Provider Identifier
1023183076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 932
- Practice address
- 204 Erie St SE
Tumwater, WA 98501-4083 - Phone
- (360) 943-2285
- Fax
- (360) 943-3085
- NPI assigned
- Nov 22, 2006
- Sex
- Male
- 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 | 932 | WA | Primary |
Addresses
Primary practice location
204 Erie St SE
Tumwater, WA 98501-4083
Mailing address
204 Erie SE
Tumwater, WA 98501
Phone (360) 943-2285
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 932 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scot a Turner DC PS | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- Tumwater, WA
- NPI 1760660328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1023183076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 ERIE SE",
"city": "TUMWATER",
"state": "WA",
"postal_code": "98501",
"telephone_number": "360-943-2285",
"fax_number": "360-943-3085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 ERIE ST SE",
"city": "TUMWATER",
"state": "WA",
"postal_code": "985014083",
"telephone_number": "360-943-2285",
"fax_number": "360-943-3085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGLAS",
"first_name": "RONNIE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "932",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tumwater, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.