Individual provider Active NPI

Ronald Eugene Daulton Jr., D.C.

  • Chiropractor
  • Hammond, IN
National Provider Identifier
1164456331
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
08001973A Issued in IN
Practice address
5716 S Hohman Ave
Hammond, IN 46320-2319
Phone
(219) 932-8900
Fax
(219) 932-8944
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 08001973A IN Primary

Addresses

Primary practice location

5716 S Hohman Ave
Hammond, IN 46320-2319

Mailing address

5716 S Hohman Ave
Hammond, IN 46320-2319
Phone (219) 932-8900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130807000938 IN Practitioner - Chiropractic 4284876020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5716 Hohman Ave
Hammond, IN 46320-2319
Phone (219) 932-8900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
08001973AINMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Hammond Chiropractic Life Center, Inc. Chiropractor CurrentSince Mar 27, 2013 Accepting new patients

Locations

5716 Hohman Ave
Hammond, IN 46320
Phone (219) 932-8900

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.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1164456331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5716 S HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463202319",
            "telephone_number": "219-932-8900",
            "fax_number": "219-932-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5716 S HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463202319",
            "telephone_number": "219-932-8900",
            "fax_number": "219-932-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAULTON",
        "first_name": "RONALD",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IN",
            "license": "08001973A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.