Organization Active NPI

NW Family Chiropractic

  • Chiropractor
  • Salem, OR
National Provider Identifier
1023360245
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3961 Issued in OR
Legal business name
NW FAMILY CHIROPRACTIC
Practice address
1797 Lansing Ave NE
Salem, OR 97301-8732
Phone
(503) 391-9112
NPI assigned
Oct 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Authorized official

Name
Dr. Andrew Isaksen, DCNPI 1841529955
Title
President
Phone
(503) 391-9112

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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3961 OR Primary

Addresses

Primary practice location

1797 Lansing Ave NE
Salem, OR 97301-8732

Mailing address

1797 Lansing Ave NE
Salem, OR 97301-8732
Phone (503) 391-9112

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130408000072 OR Part B Supplier - Clinic/Group Practice 0244475697 Receives reassigned benefits from 2 practitioners
Practice locations: Salem, OR

National Provider Directory

National Provider Directory
Tax ID family
NW Family Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1797 Lansing Ave NE
Salem, OR 97301
Phone (503) 364-5751

Practitioners & affiliated clinicians

Practitioners 2

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": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1023360245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 LANSING AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973018732",
            "telephone_number": "503-391-9112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1797 LANSING AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973018732",
            "telephone_number": "503-391-9112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "ISAKSEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-391-9112",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.