NPIMap

Organization Active NPI

Chiropractic Physicians, PC

  • Chiropractor
  • Salem, OR
National Provider Identifier
1033262142
Registry record updated Mar 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC PHYSICIANS, PC
Practice address
705 Ewald Ave SE
Salem, OR 97302-3403
Phone
(503) 378-0068
Fax
(503) 378-0069
NPI assigned
Jan 19, 2007
Last updated
Mar 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2010

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

Authorized official

Name
Mrs. Kathy Palmer
Title
Manager Corporate Secretary
Phone
(503) 378-0068

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

705 Ewald Ave SE
Salem, OR 97302-3403

Mailing address

705 Ewald Ave SE
Salem, OR 97302-3403
Phone (503) 378-0068

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040809001312 OR Part B Supplier - Clinic/Group Practice 2668444811 Receives reassigned benefits from 4 practitioners
Practice locations: Salem, OR

National Provider Directory

National Provider Directory

Locations

705 Ewald Ave SE
Salem, OR 97302
Phone (503) 370-0068

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1033262142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 EWALD AVE SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973023403",
            "telephone_number": "503-378-0068",
            "fax_number": "503-378-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 EWALD AVE SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973023403",
            "telephone_number": "503-378-0068",
            "fax_number": "503-378-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC PHYSICIANS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "MANAGER CORPORATE SECRETARY",
        "authorized_official_telephone_number": "503-378-0068",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Mar 2, 2010; 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.