Organization Active NPI

Chirocentric, LLC

  • Chiropractor
  • Beaverton, OR
National Provider Identifier
1184248726
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROCENTRIC, LLC
Practice address
14355 SW Allen Blvd.
Suite 150
Beaverton, OR 97005-4741
Phone
(503) 806-5700
Fax
(877) 940-4288
NPI assigned
May 29, 2020
Last updated
Jan 11, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Authorized official

Name
Dr. Kimberly De Alto, D.C.NPI 1568584993
Title
Manager/Owner
Phone
(503) 430-7371

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X

Addresses

Primary practice location

14355 SW Allen Blvd.
Suite 150
Beaverton, OR 97005-4741

Mailing address

14355 SW Allen Blvd.
Suite 150
Beaverton, OR 97005-4741
Phone (503) 806-5700

National Provider Directory

National Provider Directory

Locations

12620 SW 3rd St
Ste A
Beaverton, OR 97005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1184248726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14355 SW ALLEN BLVD.",
            "address_2": "SUITE 150",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054741",
            "telephone_number": "503-806-5700",
            "fax_number": "877-940-4288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14355 SW ALLEN BLVD.",
            "address_2": "SUITE 150",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970054741",
            "telephone_number": "503-806-5700",
            "fax_number": "877-940-4288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROCENTRIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2024-01-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "DE ALTO",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "503-430-7371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.