Individual provider Active NPI

Ronald William Berg, D.C.

  • Chiropractor
  • Foresthill, CA
National Provider Identifier
1760518641
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26343 Issued in CA
Practice address
24005 Racetrack St.
Foresthill, CA 95631-1430
Phone
(530) 367-5133
Fax
(530) 367-4728
NPI assigned
Feb 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26343 CA Primary

Addresses

Primary practice location

24005 Racetrack St.
Foresthill, CA 95631-1430

Mailing address

PO Box 1430
24005 Racetrack St.
Foresthill, CA 95631-1430
Phone (530) 367-5133

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211228000585 AZ Practitioner - Chiropractic 6406839836 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ironwood Chiropractic PLLCGroup PAC ID 5890013940, 3 clinicians

Practice addresses (Care Compare)

85 W Combs Rd
Suite 109
San Tan Valley, AZ 85140-9107
Phone (480) 882-9105

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC26343CAMDChiropractor
9066AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ironwood Chiropractic PLLC Chiropractor CurrentSince Oct 18, 2021 Accepting new patients
Packard Health Services, LLC Past Accepting new patients
Ronald W. Berg Chiropractic, Inc. Chiropractor PastSince Sep 25, 2003 Accepting new patients

Locations

85 W Combs Rd
Ste 109
San Tan Vly, AZ 85140
Phone (480) 882-9105

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760518641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1430",
            "address_2": "24005 RACETRACK ST.",
            "city": "FORESTHILL",
            "state": "CA",
            "postal_code": "956311430",
            "telephone_number": "530-367-5133",
            "fax_number": "530-367-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24005 RACETRACK ST.",
            "city": "FORESTHILL",
            "state": "CA",
            "postal_code": "956311430",
            "telephone_number": "530-367-5133",
            "fax_number": "530-367-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERG",
        "first_name": "RONALD",
        "middle_name": "WILLIAM",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Foresthill, CA

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.
  • 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.