NPIMap

Organization Active NPI

Forest Grove Chiropractic LLC

  • Chiropractor
  • Forest Grove, OR
National Provider Identifier
1073982286
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3142 Issued in OR
Legal business name
FOREST GROVE CHIROPRACTIC LLC
Practice address
3201 19TH Ave Ste a
Forest Grove, OR 97116-1911
Phone
(503) 357-4441
Fax
(503) 359-7941
NPI assigned
Sep 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Authorized official

Name
Thomas Pace, D.C.NPI 1164595666
Title
Owner
Phone
(503) 357-4441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3142 OR Primary

Addresses

Primary practice location

3201 19TH Ave Ste a
Forest Grove, OR 97116-1911

Mailing address

3201 19TH Ave Ste a
Forest Grove, OR 97116-1911
Phone (503) 357-4441

National Provider Directory

National Provider Directory

Locations

3201 19th Ave
Ste A
Forest Grove, OR 97116
Phone (503) 357-4441

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1073982286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 19TH AVE STE A",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161911",
            "telephone_number": "503-357-4441",
            "fax_number": "503-359-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 19TH AVE STE A",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161911",
            "telephone_number": "503-357-4441",
            "fax_number": "503-359-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST GROVE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-357-4441",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Grove, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.