Organization Active NPI

Payson Flattery ND DC PC

  • Chiropractor
  • Bend, OR
National Provider Identifier
1104977925
Registry record updated May 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
273241 Issued in OR
Legal business name
PAYSON FLATTERY ND DC PC
Practice address
464 NE Norton Ave
Bend, OR 97701-4387
Phone
(541) 323-3358
Fax
(541) 323-3359
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2019

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

Authorized official

Name
Dr. Edward Payson Flattery, ND DCNPI 1114043247
Title
Medical Director Physician
Phone
(541) 323-3358

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 273241 OR Primary

Addresses

Primary practice location

464 NE Norton Ave
Bend, OR 97701-4387

Mailing address

464 NE Norton Ave
Bend, OR 97701-4387
Phone (541) 323-3358

Other names 1

  • Payson Flattery ND DC PC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://centerforintegratedmed.com/ Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051108000038 OR Part B Supplier - Clinic/Group Practice 3274551379 Receives reassigned benefits from 3 practitioners
Practice locations: Bend, OR

National Provider Directory

National Provider Directory

Locations

639 SW Highland Ave
Redmond, OR 97756
Phone (541) 504-0250

Practitioners & affiliated clinicians

Practitioners 7

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": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559001600000",
    "number": "1104977925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 NE NORTON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014387",
            "telephone_number": "541-323-3358",
            "fax_number": "541-323-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 NE NORTON AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014387",
            "telephone_number": "541-323-3358",
            "fax_number": "541-323-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYSON FLATTERY ND DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2019-05-28",
        "status": "A",
        "authorized_official_last_name": "FLATTERY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "PAYSON",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR PHYSICIAN",
        "authorized_official_telephone_number": "541-323-3358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://centerforintegratedmed.com/",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "URL",
            "address_1": "464 NE Norton Ave",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977014387",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Payson Flattery ND DC PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Payson Flattery ND DC PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.