Organization Active NPI

Ronald J. Mostowski,Chiropractic, Inc.

  • Chiropractor
  • Modesto, CA
National Provider Identifier
1457571648
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15328 Issued in CA
Legal business name
RONALD J. MOSTOWSKI,CHIROPRACTIC, INC.
Practice address
1500 Standiford Ave
BLDG. B
Modesto, CA 95350-0592
Phone
(209) 577-3300
Fax
(209) 577-3569
NPI assigned
Apr 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Ronald J. Mostowski, D.C.NPI 1639176944
Title
Chiropractor
Phone
(209) 577-3300

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 15328 CA Primary

Addresses

Primary practice location

1500 Standiford Ave
BLDG. B
Modesto, CA 95350-0592

Mailing address

1500 Standiford Ave
BLDG. B
Modesto, CA 95350-0592
Phone (209) 577-3300

Other identifiers 1

IdentifierTypeStateIssuer
GDC000580MedicaidCA

Other names 1

  • DBA MODESTO FAMILY CHIROPRACTIC Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080118000314 CA Part B Supplier - Clinic/Group Practice 4082795711 Receives reassigned benefits from 1 practitioner
Practice locations: Modesto, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1177632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457571648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 STANDIFORD AVE",
            "address_2": "BLDG. B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500592",
            "telephone_number": "209-577-3300",
            "fax_number": "209-577-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 STANDIFORD AVE",
            "address_2": "BLDG. B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500592",
            "telephone_number": "209-577-3300",
            "fax_number": "209-577-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD J. MOSTOWSKI,CHIROPRACTIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOSTOWSKI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "209-577-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "15328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GDC000580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA MODESTO FAMILY CHIROPRACTIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.