Individual provider Active NPI

Richard Ronald Clymore, D.C.

  • Chiropractor
  • Fresno, CA
National Provider Identifier
1609809367
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC14341 Issued in CA
Practice address
2416 W Shaw Ave
Suite 107
Fresno, CA 93711-3303
Phone
(559) 439-4439
Fax
(559) 439-4448
NPI assigned
Jul 8, 2006
Sex
Male
Sole proprietor
Yes

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
Chiropractor 111N00000X DC14341 CA Primary

Addresses

Primary practice location

2416 W Shaw Ave
Suite 107
Fresno, CA 93711-3303

Mailing address

2416 W Shaw Ave
Suite 107
Fresno, CA 93711-3303
Phone (559) 439-4439

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100927000157 CA Practitioner - Chiropractic 0042336117 Practice locations: Clovis, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2416 W Shaw Ave
Suite 107
Fresno, CA 93711-3303

755 N Peach Ave
Suite B9
Clovis, CA 93611-7249
Phone (559) 439-4439

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC14341CAMDChiropractor
14341CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Harbin Clymore Chiropractic Chiropractor PastSince Jan 1, 1982 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": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609809367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 W SHAW AVE",
            "address_2": "SUITE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113303",
            "telephone_number": "559-439-4439",
            "fax_number": "559-439-4448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 W SHAW AVE",
            "address_2": "SUITE 107",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113303",
            "telephone_number": "559-439-4439",
            "fax_number": "559-439-4448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLYMORE",
        "first_name": "RICHARD",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC14341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

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.
  • 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.