NPIMap

Organization Active NPI

Conservative Pain Solution LLC

  • Chiropractor
  • Eugene, OR
National Provider Identifier
1205100880
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4110 Issued in OR
Legal business name
CONSERVATIVE PAIN SOLUTION LLC
Practice address
2866 Crescent Ave
Suite 105
Eugene, OR 97408-7342
Phone
(541) 654-5499
NPI assigned
Feb 29, 2012
Last updated
Feb 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Authorized official

Name
Dr. Casey Lee Ferguson, DCNPI 1609143783
Title
Owner
Phone
(541) 654-5499

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)CodeLicenseStatePrimary
Chiropractor 111N00000X 4110 OR Primary

Addresses

Primary practice location

2866 Crescent Ave
Suite 105
Eugene, OR 97408-7342

Mailing address

2866 Crescent Ave
Suite 105
Eugene, OR 97408-7342
Phone (541) 654-5499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120906000923 OR Part B Supplier - Clinic/Group Practice 8921256439 Receives reassigned benefits from 1 practitioner
Practice locations: Eugene, OR

National Provider Directory

National Provider Directory

Locations

2866 Crescent Ave
Ste 105
Eugene, OR 97408
Phone (541) 654-5499

388 S Garden Way
Eugene, OR 97401
Phone (541) 484-6933

Practitioners & affiliated clinicians

Practitioners 8

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": "1330473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330473600000",
    "number": "1205100880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2866 CRESCENT AVE",
            "address_2": "SUITE 105",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087342",
            "telephone_number": "541-654-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2866 CRESCENT AVE",
            "address_2": "SUITE 105",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087342",
            "telephone_number": "541-654-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSERVATIVE PAIN SOLUTION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-29",
        "last_updated": "2012-02-29",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-654-5499",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "4110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.