Active NPI
Ronald W. Nelson, D.C.
- Chiropractor
- Allyn, WA
National Provider Identifier
1336369537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1671
- Practice address
- E.18325 Hwy 3
Allyn, WA 98524 - Phone
- (360) 275-0670
- NPI assigned
- Apr 27, 2007
- Last updated
- Feb 14, 2008
- 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 | 1671 | WA | Primary |
Addresses
Primary practice location
E.18325 Hwy 3
Allyn, WA 98524
Mailing address
PO Box 864
Allyn, WA 98524-0864
Phone (360) 275-0670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080319000586 | WA | Practitioner - Chiropractic | 2466538202 | Practice locations: Allyn, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1981
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
18325 E State Route 3
Allyn, WA 98524-7723
Phone (360) 275-0670
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1671 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202947200000",
"number": "1336369537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 864",
"city": "ALLYN",
"state": "WA",
"postal_code": "985240864",
"telephone_number": "360-275-0670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "E.18325 HWY 3",
"city": "ALLYN",
"state": "WA",
"postal_code": "98524",
"telephone_number": "360-275-0670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "RONALD",
"middle_name": "W.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-27",
"last_updated": "2008-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "1671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Allyn, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.