Individual provider Active NPI

David Robert Yates, D.C.

  • Chiropractor
  • Stow, OH
National Provider Identifier
1881867752
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4118 Issued in OH
Practice address
2071 Graham Rd
Stow, OH 44224-4033
Phone
(330) 689-1234
Fax
(330) 689-1235
NPI assigned
Apr 10, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 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 4118 OH Primary

Addresses

Primary practice location

2071 Graham Rd
Stow, OH 44224-4033

Mailing address

2071 Graham Rd
Stow, OH 44224-4033
Phone (330) 689-1234

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241107000920 CA Practitioner - Chiropractic 8729271549 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Cleveland Chiropractic College - Los Angeles, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronald J. Ostrom, P.C. CorporationGroup PAC ID 6002206281, 7 clinicians

Practice addresses (Care Compare)

3900 Coffee Rd
Suite 3
Bakersfield, CA 93308-5050
Phone (661) 587-0700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4118OHMDNursing Home Administrator

Practice roles

OrganizationSpecialtyStatusNew patients
Ronald J. Ostrom, P.C. Corporation CurrentSince Oct 1, 2024 Accepting new patients
Besso Clinic of Chiropractic, Inc. Chiropractor PastSince Oct 1, 2005 Accepting new patients

Locations

3900 Coffee Rd
Ste 3
Bakersfield, CA 93308
Phone (661) 587-0700

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": "1207785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1881867752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2071 GRAHAM RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442244033",
            "telephone_number": "330-689-1234",
            "fax_number": "330-689-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2071 GRAHAM RD",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442244033",
            "telephone_number": "330-689-1234",
            "fax_number": "330-689-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YATES",
        "first_name": "DAVID",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-10",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "4118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

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