NPIMap

Organization Active NPI

Central Sport and Spine LLC

  • Chiropractor
  • Bend, OR
National Provider Identifier
1114352853
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5125 Issued in OR
Legal business name
CENTRAL SPORT AND SPINE LLC
Practice address
160 SW Scalehouse Loop
Suite 140
Bend, OR 97702-1284
Phone
(541) 617-9969
Fax
(541) 617-9890
NPI assigned
Sep 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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

Authorized official

Name
James Thornburg
Title
Sole Member
Phone
(503) 317-2944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5125 OR Primary

Addresses

Primary practice location

160 SW Scalehouse Loop
Suite 140
Bend, OR 97702-1284

Mailing address

160 SW Scalehouse Loop
Suite 140
Bend, OR 97702-1284
Phone (541) 617-9969

National Provider Directory

National Provider Directory

Locations

160 SW Scalehouse Loop
Ste 140
Bend, OR 97702
Phone (541) 617-9969

NPI Registry JSON

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

{
    "created_epoch": "1378944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1114352853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SW SCALEHOUSE LOOP",
            "address_2": "SUITE 140",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021284",
            "telephone_number": "541-617-9969",
            "fax_number": "541-617-9890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 SW SCALEHOUSE LOOP",
            "address_2": "SUITE 140",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021284",
            "telephone_number": "541-617-9969",
            "fax_number": "541-617-9890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL SPORT AND SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-12",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "THORNBURG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "503-317-2944"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 27, 2014; 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.