Organization Active NPI

Better Pain Solutions LLC

Doing business as South Albany Chiropractic Clinic

  • Chiropractor
  • Albany, OR
National Provider Identifier
1093455248
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BETTER PAIN SOLUTIONS LLC
Doing business as
South Albany Chiropractic Clinic
Practice address
2625 Queen Ave SE
Albany, OR 97322-6863
Phone
(503) 953-5647
NPI assigned
Mar 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Authorized official

Name
Illya Glazunov, DCNPI 1003565904
Title
Doctor of Chiropractic
Phone
(503) 953-5647

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: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2625 Queen Ave SE
Albany, OR 97322-6863

Mailing address

2625 Queen Ave SE
Albany, OR 97322-6863
Phone (503) 953-5647

Other names 1

  • South Albany Chiropractic Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220502001654 OR Part B Supplier - Clinic/Group Practice 2567859044 Receives reassigned benefits from 1 practitioner
Practice locations: Albany, OR

National Provider Directory

National Provider Directory

Locations

2625 Queen Ave SE
Albany, OR 97322
Phone (541) 730-2507

Practitioners & affiliated clinicians

Practitioners 1

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": "1648512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648512000000",
    "number": "1093455248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 QUEEN AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973226863",
            "telephone_number": "503-953-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 QUEEN AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973226863",
            "telephone_number": "503-953-5647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETTER PAIN SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-29",
        "last_updated": "2022-03-29",
        "certification_date": "2022-03-29",
        "status": "A",
        "authorized_official_last_name": "GLAZUNOV",
        "authorized_official_first_name": "ILLYA",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "503-953-5647",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Albany Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; 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.