Owc, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1515 Issued in ID

Legal business name

OWC, INC.

Doing business as

Orofino Wellness Center

Practice address

830 Michigan Ave
Orofino, ID 83544-7005

Phone

(208) 476-7091

Fax

(866) 993-2828

NPI assigned

Aug 10, 2012

Last updated

Mar 24, 2020By 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. Damon J Popovics, DCNPI 1710996533

Title

Owner/Physician

Phone

(208) 476-7091

Specialties & licenses 2

Addresses

Other names 1

• OROFINO WELLNESS CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Locations

Practitioners 2

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.

• Damon Josef Popovics, DC

  • Chiropractor
  • Orofino, ID
  • NPI 1710996533
  Medicare reassignment Authorized official
• Sarah Colleen Nelson, LMT

  • Specialist
  • Orofino, ID
  • NPI 1730565623
  NPD (past)

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

{
    "created_epoch": "1344556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1053668889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 MICHIGAN AVE",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "835447005",
            "telephone_number": "208-476-7091",
            "fax_number": "866-993-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 MICHIGAN AVE",
            "city": "OROFINO",
            "state": "ID",
            "postal_code": "835447005",
            "telephone_number": "208-476-7091",
            "fax_number": "866-993-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OWC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-10",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "POPOVICS",
        "authorized_official_first_name": "DAMON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "208-476-7091",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OROFINO WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OROFINO WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristy Lou Olson, MS
• Orofino Chiropractic, PLLC (Orofino Spine Center)
• Orofino Physical Therapy and Wellness Inc
• Orofino Physical Therapy, PLLC
• Orofino Retirement Properties Inc (Brookside Landing)
• Phillip H Petersen, MD
• Patricia Peterson, R.PH.
• Ashley Marie Pomponio
• Damon Josef Popovics, DC
• Bridgette Presnell

• Chiropractor in Orofino, ID
• Providers in Orofino, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.