Active NPI
Ray Thomas Clogston, DC
- Chiropractor
- Monroe, WA
National Provider Identifier
1710197405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH00002922
- Practice address
- 337 West Main Street
Monroe, WA 98272-1811 - Phone
- (360) 794-4131
- Fax
- (360) 794-4131
- NPI assigned
- May 23, 2007
- 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 | CH00002922 | WA | Primary |
Addresses
Primary practice location
337 West Main Street
Monroe, WA 98272-1811
Mailing address
337 West Main Street
Monroe, WA 98272-1811
Phone (360) 794-4131
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH00002922 | WA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710197405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 WEST MAIN STREET",
"city": "MONROE",
"state": "WA",
"postal_code": "982721811",
"telephone_number": "360-794-4131",
"fax_number": "360-794-4131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "337 WEST MAIN STREET",
"city": "MONROE",
"state": "WA",
"postal_code": "982721811",
"telephone_number": "360-794-4131",
"fax_number": "360-794-4131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOGSTON",
"first_name": "RAY",
"middle_name": "THOMAS",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH00002922",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monroe, WA
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.