Organization Active NPI

Elevation Spine Center LLC

  • Chiropractor
  • Bend, OR
National Provider Identifier
1124618590
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ELEVATION SPINE CENTER LLC
Practice address
365 NE Greenwood Ave Ste 1
Bend, OR 97701-4628
Phone
(541) 480-0518
NPI assigned
Jan 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Authorized official

Name
Dr. Derek Murray, DC
Title
Owner
Phone
(541) 480-0518

Specialties & licenses 1

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

Addresses

Primary practice location

365 NE Greenwood Ave Ste 1
Bend, OR 97701-4628

Mailing address

365 NE Greenwood Ave Ste 1
Bend, OR 97701-4628

National Provider Directory

National Provider Directory

Locations

365 NE Greenwood Ave
Ste 1
Bend, OR 97701
Phone (541) 306-6797

Practitioners & affiliated clinicians

Practitioners 1

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": "1611100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611100800000",
    "number": "1124618590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 NE GREENWOOD AVE STE 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 NE GREENWOOD AVE STE 1",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014628",
            "telephone_number": "541-480-0518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATION SPINE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "MURRAY",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-480-0518",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 20, 2021; 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.