Organization Active NPI

Marla M. St. John, D.C., P.C.

  • Chiropractor
  • Hood River, OR
National Provider Identifier
1184881484
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
272754 Issued in OR
Legal business name
MARLA M. ST. JOHN, D.C., P.C.
Practice address
1942 12TH St
Hood River, OR 97031-9542
Phone
(541) 386-1638
Fax
(541) 408-0614
NPI assigned
May 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Dr. Marla Maye St. John, D.C.
Title
Owner
Phone
(541) 386-1638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 272754 OR Primary

Addresses

Primary practice location

1942 12TH St
Hood River, OR 97031-9542

Mailing address

1942 12TH St
Hood River, OR 97031-9542
Phone (541) 386-1638

Other identifiers 1

IdentifierTypeStateIssuer
039185MedicaidOR

Other names 1

  • Hood River Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

1942 12th St
Hood River, OR 97031
Phone (541) 386-1638

NPI Registry JSON

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

{
    "created_epoch": "1211414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1184881484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1942 12TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970319542",
            "telephone_number": "541-386-1638",
            "fax_number": "541-408-0614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1942 12TH ST",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970319542",
            "telephone_number": "541-386-1638",
            "fax_number": "541-408-0614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARLA M. ST. JOHN, D.C., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-22",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "ST. JOHN",
        "authorized_official_first_name": "MARLA",
        "authorized_official_middle_name": "MAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-386-1638",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "272754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039185",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hood River Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hood River, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.