Kevin Michael Phillips DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3317 Issued in OR

Legal business name

KEVIN MICHAEL PHILLIPS DC PC

Practice address

112 NW Greeley Ave
Bend, OR 97703-2914

Phone

(541) 385-1819

NPI assigned

Aug 31, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Kevin Phillips, DC

Title

Owner

Phone

(541) 385-1819

Specialties & licenses 1

Addresses

Other names 1

• Heartstone Family Chiropractic Other name

Locations

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1073980546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 NW GREELEY AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032914",
            "telephone_number": "541-385-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 NW GREELEY AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977032914",
            "telephone_number": "541-385-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN MICHAEL PHILLIPS DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-385-1819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartstone Family Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Chiropractor in Bend, OR
• Providers in Bend, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.