Organization Active NPI

Hamed Madani DC PC

Doing business as Back to Health Center

  • Chiropractor
  • Eugene, OR
National Provider Identifier
1205290509
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3936 Issued in OR
Legal business name
HAMED MADANI DC PC
Doing business as
Back to Health Center
Practice address
598 E 13TH Ave Ste B
Eugene, OR 97401-4783
Phone
(541) 762-1777
Fax
(541) 762-1776
NPI assigned
Apr 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Authorized official

Name
Hamed Madani, DC
Title
Owner/Chiropractor
Phone
(541) 762-1777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3936 OR Primary

Addresses

Primary practice location

598 E 13TH Ave Ste B
Eugene, OR 97401-4783

Mailing address

598 E 13TH Ave Ste B
Eugene, OR 97401-4783
Phone (541) 762-1777

Other identifiers 1

IdentifierTypeStateIssuer
500628358MedicaidOR

Other names 1

  • Back to Health Center Doing business as

National Provider Directory

National Provider Directory

Locations

598 E 13th Ave
Ste B
Eugene, OR 97401
Phone (541) 762-1777

Practitioners & affiliated clinicians

Practitioners 4

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": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1205290509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 E 13TH AVE STE B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014783",
            "telephone_number": "541-762-1777",
            "fax_number": "541-762-1776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 E 13TH AVE STE B",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014783",
            "telephone_number": "541-762-1777",
            "fax_number": "541-762-1776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMED MADANI DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "MADANI",
        "authorized_official_first_name": "HAMED",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "541-762-1777",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500628358",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Back to Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 12, 2016; 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.