Ronald Lee Prouty, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2553 Issued in MN

Practice address

2594 Tilden TRL SW
Pine River, MN 56474-4041

Phone

(218) 587-4681

Fax

(218) 587-4290

NPI assigned

Aug 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Healthfirst Chiropractic Inc

  • Chiropractor
  • Pine River, MN
  • NPI 1891857959
  Medicare reassignment NPD Authorized official
• Health First Chiropractic of Baxter

  • Chiropractor
  • Baxter, MN
  • NPI 1578624839
  NPD (past) Authorized official
• Aaron Hokanson, D.C., P.a.

  • Chiropractor
  • Baxter, MN
  • NPI 1437323102
  NPD (past)
• Sailer Family Chiropractic P.a.

  • Chiropractor
  • Sartell, MN
  • NPI 1255562435
  NPD (past)
• Select Life Chiropractic, Inc.

  • Chiropractor
  • Brainerd, MN
  • NPI 1386745420
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324944000000",
    "number": "1700998655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 487",
            "city": "PINE RIVER",
            "state": "MN",
            "postal_code": "564740487",
            "telephone_number": "218-587-4681",
            "fax_number": "218-587-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2594 TILDEN TRL SW",
            "city": "PINE RIVER",
            "state": "MN",
            "postal_code": "564744041",
            "telephone_number": "218-587-4681",
            "fax_number": "218-587-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROUTY",
        "first_name": "RONALD",
        "middle_name": "LEE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "2553",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "44G58PR",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "46G64PR",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "631528300",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pine River Dental Center LLC
• Pine River Dental Center LLC
• Pine River Eye Center, Inc.
• Annette M Pohl, LPT
• Jaime Lyn Preble, DDS
• Amalia Richards, CLC
• Anton Sauer, DDS
• Tucker A Sheley, APRN,CNP
• Breanna Shellum, M.A., LMFT
• St. Joseph'S Medical Center

• Chiropractor in Pine River, MN
• Providers in Pine River, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2011; 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.