Active NPI
Cafe of Life Chiropractic PC
- Chiropractor
- Bend, OR
National Provider Identifier
1194911743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 273340
- Legal business name
- CAFE OF LIFE CHIROPRACTIC PC
- Practice address
- 519 NW Colorado Ave
Bend, OR 97701-3216 - Phone
- (541) 389-3894
- Fax
- (541) 389-5004
- NPI assigned
- Sep 18, 2007
- Last updated
- Sep 18, 2007
- 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. David Richard Boorstein, DC
- Title
- Chiropractor
- Phone
- (541) 389-3894
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 273340 | OR | Primary |
Addresses
Primary practice location
519 NW Colorado Ave
Bend, OR 97701-3216
Mailing address
519 NW Colorado Ave
Bend, OR 97701-3216
Phone (541) 389-3894
National Provider Directory
National Provider DirectoryLocations
519 NW Colorado Ave
Bend, OR 97703
Phone (541) 389-3894
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.
-
- Chiropractor
- Bend, OR
- NPI 1841375797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190073600000",
"number": "1194911743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 NW COLORADO AVE",
"city": "BEND",
"state": "OR",
"postal_code": "977013216",
"telephone_number": "541-389-3894",
"fax_number": "541-389-5004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 NW COLORADO AVE",
"city": "BEND",
"state": "OR",
"postal_code": "977013216",
"telephone_number": "541-389-3894",
"fax_number": "541-389-5004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAFE OF LIFE CHIROPRACTIC PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-18",
"last_updated": "2007-09-18",
"status": "A",
"authorized_official_last_name": "BOORSTEIN",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "RICHARD",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "541-389-3894",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OR",
"license": "273340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.