Individual provider Active NPI

Ralph William Grobman, D.C.

  • Chiropractor
  • Keizer, OR
National Provider Identifier
1730366147
Registry record updated Jul 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1668 Issued in OR
Practice address
4575 River Rd N Ste a
Keizer, OR 97303-4645
Phone
(503) 304-2225
Fax
(503) 304-2226
NPI assigned
Jan 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1668 OR Primary

Addresses

Primary practice location

4575 River Rd N Ste a
Keizer, OR 97303-4645

Mailing address

4575 River Rd N
Keizer, OR 97303-4645
Phone (503) 304-2225

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1668ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffery W. Baker D.C. P.C. Chiropractor PastSince Jan 1, 2001 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": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215388800000",
    "number": "1730366147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 RIVER RD N",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034645",
            "telephone_number": "503-304-2225",
            "fax_number": "503-304-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4575 RIVER RD N STE A",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973034645",
            "telephone_number": "503-304-2225",
            "fax_number": "503-304-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROBMAN",
        "first_name": "RALPH",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.