Elite Upper Cervical LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ELITE UPPER CERVICAL LLC

Practice address

10200 SW Eastridge St Ste 235
Portland, OR 97225-5063

Phone

(503) 597-8098

Fax

(503) 597-8098

NPI assigned

Nov 22, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Corey Daniel Burt, DC

Title

Director

Phone

(503) 597-8098

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698537600000",
    "number": "1013553189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 SW EASTRIDGE ST STE 235",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255063",
            "telephone_number": "503-597-8098",
            "fax_number": "503-597-8098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 SW EASTRIDGE ST STE 235",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255063",
            "telephone_number": "503-597-8098",
            "fax_number": "503-597-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE UPPER CERVICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2023-10-29",
        "certification_date": "2023-10-29",
        "status": "A",
        "authorized_official_last_name": "BURT",
        "authorized_official_first_name": "COREY",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "503-597-8098",
        "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": []
}

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• Elite Orthopaedic Physical Therapy and Sports Performance
• Eliza Rowley L.Ac.
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• Elizabeth Farrell, Pmhnp, LLC
• Elizabeth Nguyen, DC., LLC

• 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 Oct 29, 2023; 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.