Active NPI
Ronald Glenn Rogers, D.C.
- Orthopedic Chiropractor
- Ocean Shores, WA
National Provider Identifier
1972610053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- CH00002437
- Practice address
- 848 Ocean Shores Blvd NW
Suite 1
Ocean Shores, WA 98569-9346 - Phone
- (360) 289-2835
- Fax
- (360) 289-0494
- NPI assigned
- Aug 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | CH00002437 | WA | Primary |
Addresses
Primary practice location
848 Ocean Shores Blvd NW
Suite 1
Ocean Shores, WA 98569-9346
Mailing address
PO Box 1514
Ocean Shores, WA 98569-1514
Phone (360) 289-2835
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2011336 | Medicaid | WA | |
| 52367 | Other | WA | LABOR & INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110314000577 | WA | Practitioner - Chiropractic | 1456533306 | Practice locations: Ocean Shores, WA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
848 Ocean Shores Blvd NW
Ocean Shores, WA 98569-1514
Phone (360) 289-2835
PO Box
Suite 1514
Ocean Shores, WA 98569-1514
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298419200000",
"number": "1972610053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1514",
"city": "OCEAN SHORES",
"state": "WA",
"postal_code": "985691514",
"telephone_number": "360-289-2835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "848 OCEAN SHORES BLVD NW",
"address_2": "SUITE 1",
"city": "OCEAN SHORES",
"state": "WA",
"postal_code": "985699346",
"telephone_number": "360-289-2835",
"fax_number": "360-289-0494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "RONALD",
"middle_name": "GLENN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-24",
"last_updated": "2011-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "WA",
"license": "CH00002437",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2011336",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "52367",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ocean Shores, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.