Organization Active NPI

Ralston Chiropractic Inc.

  • Chiropractor
  • Atascadero, CA
National Provider Identifier
1861764748
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC22131 Issued in CA
Legal business name
RALSTON CHIROPRACTIC INC.
Practice address
7035 Morro Rd
Atascadero, CA 93422-4424
Phone
(805) 461-5768
Fax
(805) 461-0472
NPI assigned
Feb 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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

Authorized official

Name
Dr. Jerry Ralston, D.C.NPI 1760538516
Title
C.E.O.
Phone
(805) 461-5768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X DC22131 CA Primary

Addresses

Primary practice location

7035 Morro Rd
Atascadero, CA 93422-4424

Mailing address

7035 Morro Rd
Atascadero, CA 93422-4424
Phone (805) 461-5768

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120309000128 CA Part B Supplier - Clinic/Group Practice 3870752991 Receives reassigned benefits from 1 practitioner
Practice locations: Atascadero, CA

National Provider Directory

National Provider Directory

Locations

4305 El Camino Real
Atascadero, CA 93422
Phone (561) 385-4855

7035 Morro Rd
Atascadero, CA 93422
Phone (805) 461-5768

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1861764748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7035 MORRO RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224424",
            "telephone_number": "805-461-5768",
            "fax_number": "805-461-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7035 MORRO RD",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224424",
            "telephone_number": "805-461-5768",
            "fax_number": "805-461-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RALSTON CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-07",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "RALSTON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "805-461-5768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC22131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.