Organization Active NPI

Core Strength Chiropractic LLC

  • Sports Physician Chiropractor
  • Springfield, OR
National Provider Identifier
1184129694
Registry record updated Mar 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
3956 Issued in OR
Legal business name
CORE STRENGTH CHIROPRACTIC LLC
Practice address
498 Harlow Rd Ste 3
Springfield, OR 97477-1339
Phone
(541) 341-1414
Fax
(541) 653-8570
NPI assigned
Mar 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2020

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

Authorized official

Name
Jared Wilson, DC, CCSP
Title
Owner/Doctor
Phone
(541) 341-1414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 3956 OR Primary

Addresses

Primary practice location

498 Harlow Rd Ste 3
Springfield, OR 97477-1339

Mailing address

498 Harlow Rd Ste 3
Springfield, OR 97477-1339
Phone (541) 341-1414

National Provider Directory

National Provider Directory

Locations

1618 J St
Springfield, OR 97477
Phone (541) 341-1414

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585008000000",
    "number": "1184129694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "498 HARLOW RD STE 3",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771339",
            "telephone_number": "541-341-1414",
            "fax_number": "541-653-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "498 HARLOW RD STE 3",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771339",
            "telephone_number": "541-341-1414",
            "fax_number": "541-653-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE STRENGTH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "541-341-1414",
        "authorized_official_credential": "DC, CCSP"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "3956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.