Individual provider Active NPI

Randal David Ringsage, D.C.

  • Sports Physician Chiropractor
  • Beaverton, OR
National Provider Identifier
1396818738
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
1543 Issued in OR
Practice address
3595 SW 170TH Ave
Beaverton, OR 97006-5018
Phone
(503) 649-7373
Fax
(503) 649-6854
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 1543 OR Primary

Addresses

Primary practice location

3595 SW 170TH Ave
Beaverton, OR 97006-5018

Mailing address

3595 SW 170TH Ave
Beaverton, OR 97006-5018
Phone (503) 649-7373

Other identifiers 1

IdentifierTypeStateIssuer
17261MedicaidOR

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1543ORMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ringsage Chiropractic and Sports Injury Clinic P.C. 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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396818738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 SW 170TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065018",
            "telephone_number": "503-649-7373",
            "fax_number": "503-649-6854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 SW 170TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065018",
            "telephone_number": "503-649-7373",
            "fax_number": "503-649-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RINGSAGE",
        "first_name": "RANDAL",
        "middle_name": "DAVID",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "1543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17261",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

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.

Verify at the official NPI Registry.