NPIMap

Organization Active NPI

Cmcdonough Chiropractic, LLC

  • Health Service Clinic/Center
  • Salem, OR
National Provider Identifier
1053541938
Registry record updated Jul 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
2948 Issued in OR
Legal business name
CMCDONOUGH CHIROPRACTIC, LLC
Practice address
358 Superior St SE
Suite 100
Salem, OR 97302-5170
Phone
(503) 485-0830
Fax
(503) 485-0831
NPI assigned
Jul 25, 2009
Last updated
Jul 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2009

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

Authorized official

Name
Dr. Colleen Bridget McDonough, D.C.NPI 1073674289
Title
Owner
Phone
(503) 485-0830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 2948 OR Primary

Addresses

Primary practice location

358 Superior St SE
Suite 100
Salem, OR 97302-5170

Mailing address

358 Superior St SE
Suite 100
Salem, OR 97302-5170
Phone (503) 485-0830

National Provider Directory

National Provider Directory

Locations

358 Superior St SE
Ste 100
Salem, OR 97302
Phone (503) 485-0830

Practitioners & affiliated clinicians

Practitioners 1

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": "1248480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248480000000",
    "number": "1053541938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "358 SUPERIOR ST SE",
            "address_2": "SUITE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025170",
            "telephone_number": "503-485-0830",
            "fax_number": "503-485-0831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "358 SUPERIOR ST SE",
            "address_2": "SUITE 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973025170",
            "telephone_number": "503-485-0830",
            "fax_number": "503-485-0831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMCDONOUGH CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-25",
        "last_updated": "2009-07-25",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "BRIDGET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-485-0830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "2948",
            "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 Jul 25, 2009; 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.