Organization Active NPI

Eric B. Hayden

Doing business as Healthsource of Redmond

  • Rehabilitation Chiropractor
  • Redmond, OR
National Provider Identifier
1184279010
Registry record updated Sep 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
ERIC B. HAYDEN
Doing business as
Healthsource of Redmond
Practice address
605 NW 6TH St
Redmond, OR 97756-1510
Phone
(541) 548-4086
NPI assigned
Aug 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2019

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

Authorized official

Name
Sue Hayden
Title
Office Manager
Phone
(541) 548-4086

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X Primary

Addresses

Primary practice location

605 NW 6TH St
Redmond, OR 97756-1510

Mailing address

605 NW 6TH St
Redmond, OR 97756-1510
Phone (541) 548-4086

Other identifiers 1

IdentifierTypeStateIssuer
3495284MedicaidOR

Other names 1

  • Healthsource of Redmond Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.healthsourcechiro.com/redmond

National Provider Directory

National Provider Directory

Locations

605 NW 6th St
Redmond, OR 97756
Phone (541) 548-4086

Practitioners & affiliated clinicians

Practitioners 2

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": "1565136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567728000000",
    "number": "1184279010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 NW 6TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561510",
            "telephone_number": "541-548-4086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 NW 6TH ST",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561510",
            "telephone_number": "541-548-4086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC B. HAYDEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-09-06",
        "status": "A",
        "authorized_official_last_name": "HAYDEN",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-548-4086"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3495284",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.healthsourcechiro.com/redmond",
            "affiliation": "N",
            "address_1": "605 NW 6th St",
            "city": "Redmond",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977561510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Healthsource of Redmond",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthsource of Redmond",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.