Jason Daniel Radtke, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC32346 Issued in CA

Practice address

725 Pollasky Ave Ste 111
Clovis, CA 93612-1862

Phone

(559) 545-1822

Fax

(559) 299-1835

NPI assigned

Jun 22, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Ricky B. Radtke

  dba Bullard Chiropractic Clinic

  • Chiropractor
  • Clovis, CA
  • NPI 1649485921
  NPD (past)

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1942563986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 POLLASKY AVE STE 111",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121862",
            "telephone_number": "559-545-1822",
            "fax_number": "559-299-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 POLLASKY AVE STE 111",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936121862",
            "telephone_number": "559-545-1822",
            "fax_number": "559-299-1835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADTKE",
        "first_name": "JASON",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-22",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Beth Quillen, RDA
• Keri Quinn
• Nicholie Kim Quintero
• Marivic Lo Racho, OT
• Crystal Diana Louise Raco
• Ricky B Radtke, D.C.
• Mohammad H Rahman, MD
• Nadeem U Rahman, MD
• Ajit Rai, MD
• Karen E Raley

• Chiropractor in Clovis, CA
• Providers in Clovis, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.