Summit Chiropractic Inc

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SUMMIT CHIROPRACTIC INC

Practice address

561 NE Bellevue Dr Ste 102
Bend, OR 97701-7696

Phone

(541) 330-7080

NPI assigned

Jul 18, 2018

Organization subpart

No

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

Authorized official

Name

Kevin Dale Lewis, DC

Title

Owner/Chiropractor

Phone

(541) 330-7080

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tyge Brandon Shelby, D.C.

  • Chiropractor
  • Bend, OR
  • NPI 1407939234
  NPD (past)

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531872000000",
    "number": "1144706516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 NE BELLEVUE DR STE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017696",
            "telephone_number": "541-330-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 NE BELLEVUE DR STE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977017696",
            "telephone_number": "541-330-7080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "541-330-7080",
        "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": []
}

• Lisa Sullivan, PHD.
• Michael Sullivan
• Rachel Sullivan, PHARMD
• Michael Sultan, MD
• Rebecca Ann Sultan, PA-C
• Summit Health Solutions
• Summit Homecare, LLC
• Whitney Sumner
• Sunday Acupuncture LLC
• Meryl Sundy, MD

• Chiropractor in Bend, OR
• Providers in Bend, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.

Verify at the official NPI Registry.