Individual provider Active NPI

Christopher John Osterlitz, D.C.

  • Chiropractor
  • Eugene, OR
National Provider Identifier
1104959360
Registry record updated Jul 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27-2924 Issued in OR
Practice address
295 W Broadway
Eugene, OR 97401-3005
Phone
(541) 636-3358
Fax
(541) 636-3098
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 27-2924 OR Primary

Addresses

Primary practice location

295 W Broadway
Eugene, OR 97401-3005

Mailing address

295 W Broadway
Eugene, OR 97401-3005
Phone (541) 636-3358

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110209000282 OR Practitioner - Chiropractic 1850476052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

295 W Broadway
Eugene, OR 97401-3005
Phone (541) 636-3358

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27-2924ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Benessere Chiropractic Chiropractor CurrentSince Mar 29, 2010 Accepting new patients

Locations

295 W Broadway
Eugene, OR 97401
Phone (541) 554-9554

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404172800000",
    "number": "1104959360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "295 W BROADWAY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013005",
            "telephone_number": "541-636-3358",
            "fax_number": "541-636-3098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "295 W BROADWAY",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974013005",
            "telephone_number": "541-636-3358",
            "fax_number": "541-636-3098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSTERLITZ",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2014-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-2924",
            "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 Jul 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.