Organization Active NPI

Benessere Chiropractic

  • Chiropractor
  • Eugene, OR
National Provider Identifier
1003131202
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
71-2924 Issued in OR
Legal business name
BENESSERE CHIROPRACTIC
Practice address
295 W Broadway
Eugene, OR 97401-3005
Phone
(541) 636-3358
Fax
(541) 636-3098
NPI assigned
Mar 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Dr. Chris J Osterlitz, D.C.
Title
Owner
Phone
(541) 636-3358

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 71-2924 OR Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X AC150264 OR
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

295 W Broadway
Eugene, OR 97401-3005

Mailing address

295 W Broadway
Eugene, OR 97401-3005
Phone (541) 636-3358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110209000187 OR Part B Supplier - Clinic/Group Practice 2668652694 Receives reassigned benefits from 1 practitioner
Practice locations: Eugene, OR

National Provider Directory

National Provider Directory

Locations

295 W Broadway
Eugene, OR 97401
Phone (541) 554-9554

492 E 13th Ave
Ste 205
Eugene, OR 97401
Phone (541) 285-1668

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1003131202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 W BROADWAY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013005",
            "telephone_number": "541-636-3358",
            "fax_number": "541-636-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 W BROADWAY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013005",
            "telephone_number": "541-636-3358",
            "fax_number": "541-636-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENESSERE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "OSTERLITZ",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-636-3358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "71-2924",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC150264",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.