Organization Active NPI

Portland Backsmith Chiropractic LLC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1174086565
Registry record updated Apr 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PORTLAND BACKSMITH CHIROPRACTIC LLC
Practice address
2403 NW Thurman St
Portland, OR 97210-2522
Phone
(503) 716-6164
Fax
(503) 716-6164
NPI assigned
Apr 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2019

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

Authorized official

Name
Christopher Zander, DCNPI 1801004551
Title
Owner
Phone
(503) 716-6164

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2403 NW Thurman St
Portland, OR 97210-2522

Mailing address

2403 NW Thurman St
Portland, OR 97210-2522
Phone (503) 716-6164

National Provider Directory

National Provider Directory

Locations

2403 NW Thurman St
Portland, OR 97210
Phone (503) 716-6164

Practitioners & affiliated clinicians

Practitioners 3

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": "1554940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1174086565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 NW THURMAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102522",
            "telephone_number": "503-716-6164",
            "fax_number": "503-716-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2403 NW THURMAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102522",
            "telephone_number": "503-716-6164",
            "fax_number": "503-716-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTLAND BACKSMITH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-11",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "ZANDER",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-716-6164",
        "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 Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.