Individual provider Active NPI

Ronald M Epley, DC

  • Chiropractor
  • Reedsport, OR
National Provider Identifier
1366520371
Registry record updated Nov 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2677 Issued in OR
Practice address
2213 Winchester Ave
Reedsport, OR 97467-4801
Phone
(541) 271-2456
Fax
(541) 271-1516
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 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 2677 OR Primary

Addresses

Primary practice location

2213 Winchester Ave
Reedsport, OR 97467-4801

Mailing address

2213 Winchester Ave
Reedsport, OR 97467-4801
Phone (541) 271-2456

Other identifiers 3

IdentifierTypeStateIssuer
U21296OtherORRAILROAD MEDICARE
169811MedicaidOR
286563MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080128000013 OR Practitioner - Chiropractic 2264513829 Practice locations: Reedsport, OR; Florence, OR

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2213 Winchester Ave
Reedsport, OR 97467-4801

Hospital & facility affiliations

  • Peace Harbor Medical Center Hospital, Florence, OR, CCN 381316
  • Lower Umpqua Hospital District Hospital, Reedsport, OR, CCN 381311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2677ORMDChiropractor

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195171200000",
    "number": "1366520371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 WINCHESTER AVE",
            "city": "REEDSPORT",
            "state": "OR",
            "postal_code": "974674801",
            "telephone_number": "541-271-2456",
            "fax_number": "541-271-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 WINCHESTER AVE",
            "city": "REEDSPORT",
            "state": "OR",
            "postal_code": "974674801",
            "telephone_number": "541-271-2456",
            "fax_number": "541-271-1516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPLEY",
        "first_name": "RONALD",
        "middle_name": "M",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "U21296",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "169811",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "286563",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reedsport, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.