Active NPI
Chirocentric, LLC
- Chiropractor
- Beaverton, OR
National Provider Identifier
1184248726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- 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, 2024
- Organization subpart
- No
NPPES NPI Registry
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Acupuncturist | 171100000X | |||
| Massage Therapist | 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 DirectoryLocations
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.
-
- Rehabilitation Chiropractor
- Beaverton, OR
- NPI 1568584993
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
- Stuart D Chin, DPT, PT, CPT
- Gerald DS Ching, MD
- Allan F. Chino
- Chiro Care LLC (Chiro Care Clinic)
- Chirobiz LLC (Unity Chiropractic and Wellness Center)
- Chirofit LLC (ChiroFIT Chiropractic)
- Chiropractic and Acupuncture LLC (Align Acupuncture and Chiropractic)
- Chiropractic and Acupuncture, Inc. (Align Acupuncture and Chiropractic)
- Chiropractic First LLC
- Chiropractic Life Center - West (ProAdjuster Chiropractic)
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.