Active NPI
Ronald Joel Yukon, D.C.
- Chiropractor
- Van Buren, AR
National Provider Identifier
1538490271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1204
- Practice address
- 2731 Rudy Road
Van Buren, AR 72956 - Phone
- (479) 474-2225
- Fax
- (479) 474-4908
- NPI assigned
- Jan 20, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1204 | AR | Primary |
Addresses
Primary practice location
2731 Rudy Road
Van Buren, AR 72956
Mailing address
2731 Rudy Road
Van Buren, AR 72956
Phone (479) 474-2225
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1204 | AR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1263945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263945600000",
"number": "1538490271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2731 RUDY ROAD",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "72956",
"telephone_number": "479-474-2225",
"fax_number": "479-474-4908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2731 RUDY ROAD",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "72956",
"telephone_number": "479-474-2225",
"fax_number": "479-474-4908"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YUKON",
"first_name": "RONALD",
"middle_name": "JOEL",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-20",
"last_updated": "2010-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "AR",
"license": "1204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Van Buren, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.