Active NPI
David Richard Street, DC
- Chiropractor
- Salem, OR
National Provider Identifier
1114358470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 5548
- Practice address
- 3000 Market St NE Ste 268
Salem, OR 97301-1809 - Phone
- (503) 584-1620
- NPI assigned
- Dec 11, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 32966 | CA | |
| Chiropractor | 111N00000X | 5548 | OR | Primary |
Addresses
Primary practice location
3000 Market St NE Ste 268
Salem, OR 97301-1809
Mailing address
3000 Market St NE Ste 268
Salem, OR 97301-1809
Phone (503) 584-1620
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
| License | State | Type | Specialty |
|---|---|---|---|
| 32966 | CA | MD | Clinical Psychologist |
| 5548 | OR | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1114358470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 MARKET ST NE STE 268",
"city": "SALEM",
"state": "OR",
"postal_code": "973011809",
"telephone_number": "503-584-1620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 MARKET ST NE STE 268",
"city": "SALEM",
"state": "OR",
"postal_code": "973011809",
"telephone_number": "503-584-1620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STREET",
"first_name": "DAVID",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-12-11",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "32966",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "5548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.