Organization Active NPI

The Bend Sport & Spine Chiropractic, LLC

Doing business as Armadillo Sport Chiropractic Portland

  • Chiropractor
  • Portland, TX
National Provider Identifier
1053198689
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
THE BEND SPORT & SPINE CHIROPRACTIC, LLC
Doing business as
Armadillo Sport Chiropractic Portland
Practice address
1702 US Highway 181 Ste A3
Portland, TX 78374-3855
Phone
(361) 654-4747
Fax
(361) 654-4750
NPI assigned
Sep 8, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Richard Salazar III, DCNPI 1851800759
Title
Owner/Provider
Phone
(361) 654-4747

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 Primary

Addresses

Primary practice location

1702 US Highway 181 Ste A3
Portland, TX 78374-3855

Mailing address

102 Llano Dr
Portland, TX 78374-1225
Phone (361) 424-0103

Other names 1

  • Armadillo Sport Chiropractic Portland Doing business as

National Provider Directory

National Provider Directory

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": "1694131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1053198689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 LLANO DR",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783741225",
            "telephone_number": "361-424-0103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 US HIGHWAY 181 STE A3",
            "city": "PORTLAND",
            "state": "TX",
            "postal_code": "783743855",
            "telephone_number": "361-654-4747",
            "fax_number": "361-654-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BEND SPORT & SPINE CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-08",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "361-654-4747",
        "authorized_official_name_suffix": "III",
        "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": "Armadillo Sport Chiropractic Portland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.