Active NPI
Be Well Corvallis Chiropractic
- Clinic/Center
- Corvallis, OR
National Provider Identifier
1003368275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 5014
- Legal business name
- BE WELL CORVALLIS CHIROPRACTIC
- Practice address
- 2721 NW 9TH St
Corvallis, OR 97330-3857 - Phone
- (541) 754-1577
- NPI assigned
- Nov 3, 2016
- Last updated
- Aug 23, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chad Randall Lamer, D.C.
- Title
- Owner/Chiropractor
- Phone
- (605) 695-5419
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 5014 | OR | Primary |
Addresses
Primary practice location
2721 NW 9TH St
Corvallis, OR 97330-3857
Mailing address
2721 NW 9TH St
Corvallis, OR 97330-3857
Phone (541) 754-1577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2721 NW 9th St
Corvallis, OR 97330
Phone (541) 754-1577
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Corvallis, OR
- NPI 1972554889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1503446400000",
"number": "1003368275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2721 NW 9TH ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303857",
"telephone_number": "541-754-1577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2721 NW 9TH ST",
"city": "CORVALLIS",
"state": "OR",
"postal_code": "973303857",
"telephone_number": "541-754-1577"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BE WELL CORVALLIS CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-03",
"last_updated": "2017-08-23",
"status": "A",
"authorized_official_last_name": "LAMER",
"authorized_official_first_name": "CHAD",
"authorized_official_middle_name": "RANDALL",
"authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
"authorized_official_telephone_number": "605-695-5419",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "OR",
"license": "5014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2017; 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.