Organization Active NPI

Seaside Chiropractic Clinic P C

  • Chiropractor
  • Seaside, OR
National Provider Identifier
1114453164
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1574 Issued in OR
Legal business name
SEASIDE CHIROPRACTIC CLINIC P C
Practice address
1500 S Roosevelt Dr
Seaside, OR 97138-6512
Phone
(503) 738-3331
Fax
(503) 738-3332
NPI assigned
May 11, 2017
Last updated
Jun 6, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
SEASIDE CHIROPRACTIC CLINIC P CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Authorized official

Name
Arne D Otness, DCNPI 1699829242
Title
Owner
Phone
(503) 738-3331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 1574 OR Primary

Addresses

Primary practice location

1500 S Roosevelt Dr
Seaside, OR 97138-6512

Mailing address

1500 S Roosevelt Dr
Seaside, OR 97138-6512
Phone (503) 738-3331

National Provider Directory

National Provider Directory
Part of
Seaside Chiropractic Clinic P C

Locations

1500 S Roosevelt Dr
Seaside, OR 97138
Phone (503) 738-3331

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717632000000",
    "number": "1114453164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S ROOSEVELT DR",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971386512",
            "telephone_number": "503-738-3331",
            "fax_number": "503-738-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S ROOSEVELT DR",
            "city": "SEASIDE",
            "state": "OR",
            "postal_code": "971386512",
            "telephone_number": "503-738-3331",
            "fax_number": "503-738-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEASIDE CHIROPRACTIC CLINIC P C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SEASIDE CHIROPRACTIC CLINIC P C",
        "enumeration_date": "2017-05-11",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A",
        "authorized_official_last_name": "OTNESS",
        "authorized_official_first_name": "ARNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-738-3331",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaside, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; 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.