Individual provider Active NPI

Logan Chavez, DC

  • Chiropractor
  • Bend, OR
National Provider Identifier
1134726417
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
6510 Issued in OR
Practice address
55 NW Wall St Ste 100
Bend, OR 97703-3200
Phone
(541) 389-4321
Fax
(541) 389-4420
NPI assigned
Oct 8, 2020
Last updated
May 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 6510 OR Primary

Addresses

Primary practice location

55 NW Wall St Ste 100
Bend, OR 97703-3200

Mailing address

1807 NW Jackpine Ave
Redmond, OR 97756-8459
Phone (360) 601-6139

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250507002270 CO Practitioner - Chiropractic 8628489127 Reassigns benefits to 2 organizations
I20260506002564 OR Practitioner - Chiropractic 8628489127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Falling Waters LLCGroup PAC ID 9638200991, 7 clinicians

Practice addresses (Care Compare)

55 NW Wall St
Suite 100
Bend, OR 97703-3200
Phone (541) 389-4321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6510ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Falling Waters LLC Chiropractor CurrentSince Apr 1, 2026 Accepting new patients
Colorado Integrated Care Network LLC CurrentSince May 15, 2025 Accepting new patients
Scott Family Chiropractic Chiropractor CurrentSince May 5, 2025 Accepting new patients
Scott Family Health Chiropractor Current Accepting new patients

Locations

1823 Ford St
Ste 35
Golden, CO 80401
Phone (303) 641-2254

1491 Denver Ave
Unit 101
Loveland, CO 80538
Phone (970) 663-2225

55 NW Wall St
Ste 100
Bend, OR 97703
Phone (541) 389-4321

Interoperability endpoints

  • Direct secure messaging: logan.chavez.2@29676.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1134726417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 NW JACKPINE AVE",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977568459",
            "telephone_number": "360-601-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 NW WALL ST STE 100",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977033200",
            "telephone_number": "541-389-4321",
            "fax_number": "541-389-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAVEZ",
        "first_name": "LOGAN",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-08",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "6510",
            "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 May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.