Individual provider Active NPI

Paul Yang

  • Chiropractor
  • Eugene, OR
National Provider Identifier
1093468134
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6204 Issued in OR
Practice address
1400 Valley River Dr Ste 260
Eugene, OR 97401-6760
Phone
(541) 343-5633
NPI assigned
Jan 29, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6204 OR Primary

Addresses

Primary practice location

1400 Valley River Dr Ste 260
Eugene, OR 97401-6760

Mailing address

1400 Valley River Dr Ste 260
Eugene, OR 97401-6760
Phone (541) 343-5633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6204ORMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Motion Physical Therapy, Inc. CurrentSince Nov 9, 2023 Accepting new patients
The Weekend Chiropractor Chiropractor PastSince May 7, 2024 Accepting new patients

Locations

1400 Valley River Dr
Ste 260
Eugene, OR 97401
Phone (458) 273-5052

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1093468134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 VALLEY RIVER DR STE 260",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016760",
            "telephone_number": "541-343-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 VALLEY RIVER DR STE 260",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016760",
            "telephone_number": "541-343-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANG",
        "first_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-29",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.