Active Wellness Chiropractic,PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3632 Issued in OR

Legal business name

ACTIVE WELLNESS CHIROPRACTIC,PC

Practice address

1815 SW Marlow Ave
Suite 206
Portland, OR 97225-5185

Phone

(503) 789-1014

Fax

(877) 985-9111

NPI assigned

Aug 19, 2014

Last updated

Aug 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Megan Dejana, D.C.NPI 1871506600

Title

Ceo

Phone

(503) 789-1014

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 7

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.

• Megan Dejana, D.C.

  • Chiropractor
  • Portland, OR
  • NPI 1871506600
  Medicare reassignment NPD Authorized official
• Evan J Larkin, DC

  • Chiropractor
  • Portland, OR
  • NPI 1730805896
  NPD
• Amber R Rowald, DC

  • Chiropractor
  • Portland, OR
  • NPI 1386360444
  NPD
• Breeana Harper, LMT

  • Specialist
  • Portland, OR
  • NPI 1831639475
  NPD (past)
• Jonathan Pierce, LMT

  • Specialist
  • Portland, OR
  • NPI 1699217828
  NPD (past)
• Mary K Alvarez, MD

  • Family Medicine Physician
  • Portland, OH
  • NPI 1619927944
  NPD (past)
• Karen L Wright, MD

  • Family Medicine Physician
  • Elko, NV
  • NPI 1215941760
  NPD (past)

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

{
    "created_epoch": "1408406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408406400000",
    "number": "1033518600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 SW MARLOW AVE",
            "address_2": "SUITE 206",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255185",
            "telephone_number": "503-789-1014",
            "fax_number": "877-985-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 SW MARLOW AVE",
            "address_2": "SUITE 206",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972255185",
            "telephone_number": "503-789-1014",
            "fax_number": "877-985-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE WELLNESS CHIROPRACTIC,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-19",
        "last_updated": "2014-08-19",
        "status": "A",
        "authorized_official_last_name": "DEJANA",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-789-1014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI TYPE 1",
            "identifier": "1871506600",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Active Recovery TMS PLLC
• Activecarepdx PC (ClinicFit)
• Acuherbal Health LLC
• Aculinks Acupuncture, Inc. (Aculinks Acupuncture)
• Claudia M Acuna Plaza
• Erika Acuna, PA-C

• 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 Aug 19, 2014; 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.