CROCKETT CHIROPRACTIC CENTER
NPI 1558392019
Chiropractor in Salem, OR

Q: What is Ronald M Crockett Bs Dc PC's NPI number?

The NPI number for Ronald M Crockett Bs Dc PC is 1558392019. It was assigned to this organization in the NPPES registry on July 5, 2006. The provider is doing business as Crockett Chiropractic Center.

Q: What is Ronald M Crockett Bs Dc PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Active since July 05, 2006

4070 MACLEAY RD SE, SALEM, OR 97317(503) 371-9796(503) 371-8265 Get Directions Write a Review

NPPES record last updated: November 16, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Crockett Chiropractic Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CROCKETT CHIROPRACTIC CENTER (NPI 1558392019) is a healthcare organization registered as a chiropractor in Salem, Oregon and active in the NPI registry since July 2006. The organization lists Ronald M Crockett, President, as its authorized official.

NPPES Registry Identity

NPI1558392019

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameRONALD M CROCKETT BS DC PC

Location Address4070 MACLEAY RD SESalem, OR 97317-5801

Mailing Address4070 Macleay Rd SeSalem, OR 97317-5801 · (503) 371-9796 · Fax (503) 371-8265

Phone(503) 371-9796

Fax(503) 371-8265

Organization SubpartYes

Authorized OfficialRonald M CrockettPresident · (503) 371-9796

Enumeration DateJuly 5, 2006

Last NPPES UpdateNovember 16, 2012

✔ NPI 1558392019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in OR · 1472

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

4070 MACLEAY RD SE, Salem, OR 97317

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Other Names 1

Doing Business AsCrockett Chiropractic Center

Other Identifiers 3

Medicare UPINT67544

Medicare ID-Type Unspecified114500OR · Grp Number

Medicare ID-Type UnspecifiedR114501OR · Prov Number

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Crockett Chiropractic Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Crockett Chiropractic Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Ronald Crockett, D.C.

Chiropractic

NPI 1700916855

4070 MACLEAY RD SE
Salem, OR 97317

(503) 371-9796

Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ronald M Crockett Bs Dc PC's NPI number?

The NPI number for Ronald M Crockett Bs Dc PC is 1558392019. It was assigned to this organization in the NPPES registry on July 5, 2006. The provider is doing business as Crockett Chiropractic Center.

Where is Ronald M Crockett Bs Dc PC located?

Ronald M Crockett Bs Dc PC is located at 4070 Macleay Rd SE, Salem, OR 97317. The listed phone number is (503) 371-9796.

What is Ronald M Crockett Bs Dc PC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Ronald M Crockett Bs Dc PC enrolled in Medicare?

Yes. Ronald M Crockett Bs Dc PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ronald M Crockett Bs Dc PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Ronald M Crockett Bs Dc PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Ronald M Crockett Bs Dc PC accept?

Health plans from Moda Health Plan, Inc. list Ronald M Crockett Bs Dc PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ronald M Crockett Bs Dc PC was last updated on November 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.