Organization Active NPI

Ron Rosnermanz DC PLLC

Doing business as Saline Chiropractic

  • Chiropractor
  • Benton, AR
National Provider Identifier
1396805818
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1460 Issued in AR
Legal business name
RON ROSNERMANZ DC PLLC
Doing business as
Saline Chiropractic
Practice address
1200 Ferguson Dr
Suite 2
Benton, AR 72015-3503
Phone
(501) 315-3310
Fax
(501) 315-9262
NPI assigned
Dec 12, 2006
Last updated
Feb 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Ron S. Rosnermanz, DCNPI 1538120951
Title
Owner
Phone
(501) 315-3310

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)CodeLicenseStatePrimary
Chiropractor 111N00000X 1460 AR Primary

Addresses

Primary practice location

1200 Ferguson Dr
Suite 2
Benton, AR 72015-3503

Mailing address

1200 Ferguson Dr
Suite 2
Benton, AR 72015-3503
Phone (501) 315-3310

Other identifiers 6

IdentifierTypeStateIssuer
5C325OtherARBCBS GROUP #
5T636OtherARINDIV. BCBS & MC FOR ROSN
1538120951OtherARINDIVIDUAL NPI #
990007654OtherARRAILROAD MEDICARE
19906000040OtherARQUALCHOICE QCA
4420065OtherARUNITEDHEALTHCARE

Other names 1

  • Saline Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140911001832 AR Part B Supplier - Clinic/Group Practice 2062518608 Receives reassigned benefits from 2 practitioners
Practice locations: Benton, AR
O20231010000568 AR Part B Supplier - Clinic/Group Practice 0648625723 Receives reassigned benefits from 1 practitioner
Practice locations: Benton, AR

National Provider Directory

National Provider Directory

Locations

1200 Ferguson Dr
Ste 2
Benton, AR 72015
Phone (501) 315-3310

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1396805818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 FERGUSON DR",
            "address_2": "SUITE 2",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153503",
            "telephone_number": "501-315-3310",
            "fax_number": "501-315-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 FERGUSON DR",
            "address_2": "SUITE 2",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720153503",
            "telephone_number": "501-315-3310",
            "fax_number": "501-315-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RON ROSNERMANZ DC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-02-22",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "ROSNERMANZ",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-315-3310",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AR",
            "license": "1460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP #",
            "identifier": "5C325",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV. BCBS & MC FOR ROSN",
            "identifier": "5T636",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL  NPI #",
            "identifier": "1538120951",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "990007654",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE QCA",
            "identifier": "19906000040",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITEDHEALTHCARE",
            "identifier": "4420065",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saline Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Saline Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.

Verify at the official NPI Registry.