Individual provider Active NPI

Ronald Duane Fielden II, D.C.

  • Orthopedic Chiropractor
  • San Antonio, TX
National Provider Identifier
1477581007
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
7212 Issued in TX
Practice address
1205 N Loop 1604 W
Ste. 211
San Antonio, TX 78258-4624
Phone
(210) 764-8888
Fax
(210) 764-2601
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X 7212 TX Primary

Addresses

Primary practice location

1205 N Loop 1604 W
Ste. 211
San Antonio, TX 78258-4624

Mailing address

10400 FM 306
Canyon Lake, TX 78132-2280
Phone (830) 226-5456

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231012001266 TX Practitioner - Chiropractic 2163592080 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Golabs Cbandj Relief PLLCGroup PAC ID 8628423571, 4 clinicians

Practice addresses (Care Compare)

1205 N Loop 1604
Suite 211
San Antonio, TX 78258-4627
Phone (210) 764-8888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7212TXMDOrthopedic Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Golabs CB&J Relief PLLC CurrentSince Jun 20, 2023 Accepting new patients
Franklin Chiropractic & Accident Clinics, Inc. PastSince Oct 3, 2016 Accepting new patients
San Antonio Integrated Healthcare PLLC PastSince Jan 1, 2016 Accepting new patients

Locations

1205 N Loop 1604 W
San Antonio, TX 78258
Phone (210) 319-2900

1205 N Loop 1604 W
Ste 211
San Antonio, TX 78258
Phone (210) 764-8888

Organizations & group practices 3

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1477581007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 FM 306",
            "city": "CANYON LAKE",
            "state": "TX",
            "postal_code": "781322280",
            "telephone_number": "830-226-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N LOOP 1604 W",
            "address_2": "STE. 211",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782584624",
            "telephone_number": "210-764-8888",
            "fax_number": "210-764-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDEN",
        "first_name": "RONALD",
        "middle_name": "DUANE",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "TX",
            "license": "7212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.