DR. RONALD T. WATANABE (NPI# 1104178326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104178326 |
| Entity Type | Individual |
| Full Name | DR. RONALD T. WATANABE |
| Credential | DC, RPH |
| Practice Address |
20 West White Mountain Road Safeway Pharmacy Lakeside AZ 85929 |
| Mailing Address |
Po Box 3116 Pinetop AZ 85935-3116 |
| Practice Telephone | 9283675442 |
| Mailing Telephone | 9823671099 |
| Enumeration Date | 2012-10-11 |
| Last Update Date | 2012-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4364 | AZ | Chiropractic Providers |
| N | 183500000X | Pharmacist | 6070 | AZ | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619048345 | Ronald Terrance Watanabe | Dentist | 14785 Jeffrey Rd Ste 205, Irvine, CA 92618-0412 | 2006-11-13 |
| 1942200316 | Ronald Kiyoshi Watanabe | Optometrist | 15 Central St, Andover, MA 01810-3718 | 2005-07-28 |
| Street Address |
20 WEST WHITE MOUNTAIN ROAD SAFEWAY PHARMACY |
| City | LAKESIDE |
| State | AZ |
| Zip Code | 85929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689272700 | Pediatric Multicare West, LLC | Pediatrics | 316 W. White Mountain Blvd., Suite A, Lakeside, AZ 85929 | 2020-10-12 |
| 1841836285 | Changepoint Integrated Health | Community/Behavioral Health | 1920 West Commerce Dr, Lakeside, AZ 85929 | 2019-11-20 |
| 1184111692 | Statclinix Plc | Clinic/Center | 3457 W White Mountain Blvd, Lakeside, AZ 85929 | 2018-04-19 |
| 1154827863 | Advanced Health and Wellness Az | Clinic/Center | 4830 Highway 260 Ste 102, Lakeside, AZ 85929 | 2018-04-02 |
| 1740648260 | Ries Chiropractic and Rehabilitation Center LLC | Point of Service | 5658 Hwy 260 Ste 1, Lakeside, AZ 85929 | 2016-01-29 |
| 1912395807 | Samuel Jesus Rosero Garcia | Family Medicine | 300 W. White Mountain Blvd, Suite D, Lakeside, AZ 85929 | 2014-12-31 |
| 1962705442 | San Tan Behavioral Health Services | Non-emergency Medical Transport (VAN) | 1277 Hummingbird Circle, Lakeside, AZ 85929 | 2010-12-06 |
| 1609181718 | Freter Family Practice Pllc | Family Medicine | 5448 S. White Mountain Blvd, 270, Lakeside, AZ 85929 | 2010-08-12 |
| 1760701221 | Sierra Blanca Rehabilitation LLC | Skilled Nursing Facility | 3401 N Lockwood Dr, Lakeside, AZ 85929 | 2010-05-24 |
| 1710117031 | Bornstein Medical Pllc | Family Medicine | 5448 S White Mountain Rd, Suite 270, Lakeside, AZ 85929 | 2009-07-21 |
| Find all providers in zip 85929 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871006858 | Cassie Ann Meylor | Chiropractor | 6154 120th Ave, Lakeside, IA 50588-7536 | 2017-11-13 |
| 1518411560 | Colton Bill Hoffenbacker | Chiropractor | 7176 Us Highway 93 S, Lakeside, MT 59922-9728 | 2016-08-08 |
| 1235450917 | Kenly Leonard Ries | Chiropractor | 100 W White Mountain Blvd, Suite C, Lakeside, AZ 85929-6878 | 2010-06-17 |
| 1215267752 | Lakeside Chiropractic Clinic PC | Chiropractor | 7176 Hwy 93 S, Lakeside, MT 59922 | 2010-01-06 |
| 1083852990 | Karb Services | Chiropractor | 218 West White Mountain Boulevard, B, Lakeside, AZ 85929 | 2009-01-30 |
| 1972706786 | Mustang Chiropractic, LLC | Chiropractor | 218 W. White Mountain Blvd., Suite B, Lakeside, AZ 85929 | 2007-06-08 |
| 1457401895 | Susan Kinkade Antley | Chiropractor | 7176 Highway 93 South, Lakeside, MT 59922 | 2007-01-10 |
| 1760464960 | Charles Francis Plante | Chiropractor | 11965 Ericas Way, Lakeside, CA 92040-1029 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750528 | Innovative Pain and Wellness Plc | Chiropractor | 8110 W Union Hills Dr Ste 320, Glendale, AZ 85308-8181 | 2020-11-04 |
| 1881293058 | Modern Chiropractic Company Pllc | Chiropractor | 670 N 54th St Ste 1, Chandler, AZ 85226-1529 | 2020-10-20 |
| 1487260436 | Chiropure Spine & Injury | Chiropractor | 950 E Baseline Rd Ste 104, Tempe, AZ 85283-1689 | 2020-09-16 |
| 1396359626 | Adapt Chiropractic Pllc | Chiropractor | 1728 S Greenfield Rd Ste 109, Mesa, AZ 85206-3484 | 2020-09-03 |
| 1780294835 | Jacquelyn Rose Lewison | Chiropractor | 2055 N Kolb Rd, Tucson, AZ 85715-4099 | 2020-08-04 |
| 1023628476 | The Wellness Way North Phoenix LLC | Chiropractor | 34406 N 27th Dr Ste 139, Phoenix, AZ 85085-7733 | 2020-07-31 |
| 1114535366 | Brian Anthony Romero | Chiropractor | 230 S 3rd St Ste B3, Phoenix, AZ 85004-2697 | 2020-07-14 |
| 1699391052 | Emily Weber | Chiropractor | 3426 E Baseline Rd, Mesa, AZ 85204-7291 | 2020-06-22 |
| 1841815552 | Madera Chiropractic Pllc | Chiropractor | 560 E Continental Rd Unit 102, Green Valley, AZ 85614-1825 | 2020-06-09 |
| 1194351379 | Sport and Spine Chiropractic Pllc | Chiropractor | 2155 E University Dr Ste 111, Tempe, AZ 85281-4685 | 2020-03-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.