Organization Active NPI

RCC LLC

  • Chiropractor
  • Redmond, OR
National Provider Identifier
1013511344
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RCC LLC
Practice address
4820 SW Umatilla Ave
Redmond, OR 97756-1984
Phone
(541) 604-8917
Fax
(541) 604-8917
NPI assigned
Nov 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Authorized official

Name
Dr. Bradley Kent Rethwill, DC
Title
Owner
Phone
(541) 604-8917

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4820 SW Umatilla Ave
Redmond, OR 97756-1984

Mailing address

4820 SW Umatilla Ave
Redmond, OR 97756-1984
Phone (541) 604-8917

Other names 2

  • Bradley K Rethwill DC Doing business as
  • Rethwill Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1400 Executive Pkwy
Ste 220
Eugene, OR 97401
Phone (541) 345-1669

Practitioners & affiliated clinicians

Practitioners 1

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": "1606435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1013511344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 SW UMATILLA AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561984",
            "telephone_number": "541-604-8917",
            "fax_number": "541-604-8917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 SW UMATILLA AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561984",
            "telephone_number": "541-604-8917",
            "fax_number": "541-604-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "RETHWILL",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-604-8917",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradley K Rethwill DC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rethwill Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.