NPIMap

Organization Active NPI

Chiropractic Pain & Prevention Center P.C.

  • Clinic/Center
  • Eugene, OR
National Provider Identifier
1053614040
Registry record updated Dec 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
1202 Issued in OR
Legal business name
CHIROPRACTIC PAIN & PREVENTION CENTER P.C.
Practice address
1902 Jefferson St
Ste 1
Eugene, OR 97405-2485
Phone
(541) 687-2772
Fax
(888) 857-2772
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2010

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

Authorized official

Name
David A Carlstrom, DCNPI 1942344437
Title
Owner
Phone
(541) 687-2772

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
Clinic/Center 261Q00000X 1202 OR Primary

Addresses

Primary practice location

1902 Jefferson St
Ste 1
Eugene, OR 97405-2485

Mailing address

1902 Jefferson St
Ste 1
Eugene, OR 97405-2485
Phone (541) 687-2772

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, 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": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292371200000",
    "number": "1053614040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 JEFFERSON ST",
            "address_2": "STE 1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052485",
            "telephone_number": "541-687-2772",
            "fax_number": "888-857-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 JEFFERSON ST",
            "address_2": "STE 1",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974052485",
            "telephone_number": "541-687-2772",
            "fax_number": "888-857-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC PAIN & PREVENTION CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-15",
        "status": "A",
        "authorized_official_last_name": "CARLSTROM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-687-2772",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "1202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2010; 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.