Organization Active NPI

Open Chiropractic LLC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1073965257
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3723 Issued in OR
Legal business name
OPEN CHIROPRACTIC LLC
Practice address
2100 NE Broadway St
Ste 225
Portland, OR 97232-1569
Phone
(503) 222-3000
Fax
(971) 255-1754
NPI assigned
Jul 12, 2016
Last updated
Jul 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
Dr. Suzana Levy, D.C.NPI 1891987459
Title
Owner/ Chiropractor
Phone
(503) 222-3000

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
Chiropractor 111N00000X 3723 OR Primary

Addresses

Primary practice location

2100 NE Broadway St
Ste 225
Portland, OR 97232-1569

Mailing address

2100 NE Broadway St
Ste 225
Portland, OR 97232-1569
Phone (503) 222-3000

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": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1073965257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 NE BROADWAY ST",
            "address_2": "STE 225",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321569",
            "telephone_number": "503-222-3000",
            "fax_number": "971-255-1754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 NE BROADWAY ST",
            "address_2": "STE 225",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972321569",
            "telephone_number": "503-222-3000",
            "fax_number": "971-255-1754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "SUZANA",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "503-222-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.