Individual provider Active NPI

Willia, Ronald Pierce, D.C.D.A.B.C.O.

  • Chiropractor
  • Santa Maria, CA
National Provider Identifier
1760438303
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
15476 Issued in CA
Practice address
1415 E Main St
Santa Maria, CA 93454-4801
Phone
(805) 922-1721
Fax
(805) 928-8582
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 15476 CA Primary

Addresses

Primary practice location

1415 E Main St
Santa Maria, CA 93454-4801

Mailing address

1415 E Main St
Santa Maria, CA 93454-4801
Phone (805) 922-1721

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101011001143 CA Practitioner - Chiropractic 7719179639 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Santa Maria, CA

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 1983
Medicare assignment
May accept Medicare assignment
Group practices
Pierce Chiropractic and Sports Injury Center P CGroup PAC ID 5092094748, 3 clinicians

Practice addresses (Care Compare)

1415 E Main St
Santa Maria, CA 93454-4801
Phone (805) 922-1721

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pierce Chiropractic & Sports Injury Center Chiropractor PastSince Jan 1, 1973 Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 2

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262736000000",
    "number": "1760438303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 E MAIN ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544801",
            "telephone_number": "805-922-1721",
            "fax_number": "805-928-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 E MAIN ST",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934544801",
            "telephone_number": "805-922-1721",
            "fax_number": "805-928-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "WILLIA,",
        "middle_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "D.C.D.A.B.C.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2010-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "15476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2010; 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.