Total Family Chiropractic P C

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2681 Issued in OR

Legal business name

TOTAL FAMILY CHIROPRACTIC P C

Practice address

4309 SE Woodstock Blvd Ste 120
Portland, OR 97206-6212

Phone

(503) 777-4221

Fax

(503) 777-4349

NPI assigned

May 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. David Scott Conklin, D.C.

Title

Chiropractor / Owner

Phone

(503) 777-4221

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1338249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1013277722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 SE WOODSTOCK BLVD STE 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066212",
            "telephone_number": "503-777-4221",
            "fax_number": "503-777-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 SE WOODSTOCK BLVD STE 120",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972066212",
            "telephone_number": "503-777-4221",
            "fax_number": "503-777-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL FAMILY CHIROPRACTIC P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-29",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "CONKLIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "CHIROPRACTOR / OWNER",
        "authorized_official_telephone_number": "503-777-4221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Portland, OR
• Providers in Portland, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.