Individual provider Active NPI

Elaine Faverey, DC

  • Chiropractor
  • Bend, OR
National Provider Identifier
1154810141
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5911 Issued in OR
Practice address
424 NE Franklin Ave
Bend, OR 97701-4919
Phone
(541) 388-3588
Fax
(541) 388-0839
NPI assigned
May 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5911 OR Primary

Addresses

Primary practice location

424 NE Franklin Ave
Bend, OR 97701-4919

Mailing address

424 NE Franklin Ave
Bend, OR 97701-4919
Phone (541) 388-3588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180702002787 OR Practitioner - Chiropractic 0446506505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices
Discover Chiropractic PCGroup PAC ID 8224325758, 4 clinicians

Practice addresses (Care Compare)

155 SW Century Dr
Suite 111
Bend, OR 97702-1657
Phone (541) 797-6224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Discover Chiropractic, P.C. Chiropractor CurrentSince Mar 19, 2025 Accepting new patients
Goulart Family Chiropractic Inc Chiropractor Past Accepting new patients

Locations

155 SW Century Dr
Ste 111
Bend, OR 97702
Phone (541) 789-7622

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1154810141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "424 NE FRANKLIN AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014919",
            "telephone_number": "541-388-3588",
            "fax_number": "541-388-0839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 NE FRANKLIN AVE",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014919",
            "telephone_number": "541-388-3588",
            "fax_number": "541-388-0839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAVEREY",
        "first_name": "ELAINE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5911",
            "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 4, 2018; 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.