Individual provider Active NPI

Christian Eric Wissinger, DC

  • Chiropractor
  • Keizer, OR
National Provider Identifier
1205900263
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
273490 Issued in OR
Practice address
1296 Horizon Ridge CT NE
Keizer, OR 97303-7703
Phone
(503) 588-6633
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 273490 OR Primary

Addresses

Primary practice location

1296 Horizon Ridge CT NE
Keizer, OR 97303-7703

Mailing address

1296 Horizon Ridge CT NE
Keizer, OR 97303-7703
Phone (503) 588-6633

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3490ORMDPsychologist
273490ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffery W. Baker D.C. P.C. Chiropractor PastSince Jan 1, 2001 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205900263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1296 HORIZON RIDGE CT NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973037703",
            "telephone_number": "503-588-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1296 HORIZON RIDGE CT NE",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973037703",
            "telephone_number": "503-588-6633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISSINGER",
        "first_name": "CHRISTIAN",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.