Ronald M. Crockett, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

1472 Issued in OR

Practice address

4070 Macleay Rd SE
Salem, OR 97317-5801

Phone

(503) 371-9796

Fax

(503) 371-8265

NPI assigned

Mar 7, 2007

Last updated

Nov 15, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Specialty

Chiropractic

Education

Western States College of Chiropractic, 1979

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ronald M Crockett BS DC PC

  dba Crockett Chiropractic Center

  • Chiropractor
  • Salem, OR
  • NPI 1558392019
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1700916855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 MACLEAY RD SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973175801",
            "telephone_number": "503-371-9796",
            "fax_number": "503-371-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4070 MACLEAY RD SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973175801",
            "telephone_number": "503-371-9796",
            "fax_number": "503-371-8265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKETT",
        "first_name": "RONALD",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crisdental East Salem, LLC
• Crisdental Salem L.L.C.
• Natasha Crisman
• Christopher James Cristobal, CRM
• Shawn R Criswell, LPC
• William R. Croco, RPH.
• Croisan Ridge Surgery Center, LLC
• Erik Cronrath, PT, DPT
• Janet Louise Crooks, RPH
• Erica-Renee Cropper, QMHA

• Chiropractor in Salem, OR
• Providers in Salem, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.