MEDICARE: DR. RONALD W. ADAMS DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	1849	NM
2	111N00000X	Chiropractor	4101	OH
3	111N00000X	Chiropractor	13259	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	58796B	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1366589764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD W. ADAMS DC

Provider Business Mailing Address
First Line	:	6900 W I 40 STE 180
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79106-2522
Country	:	US
Telephone Number	:	330-953-0705
Fax Number	:

Provider Business Practice Location Address
First Line	:	6900 W I 40 STE 180
Second Line	:
City	:	AMARILLO
State	:	TX
Zip	:	79106-2522
Country	:	US
Telephone Number	:	806-420-3397
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	10/03/2022

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