Organization Active NPI

Valleyview Chiropractic & Spine Center Dba Gresham Chiropractic Clinic

  • Chiropractor
  • Gresham, OR
National Provider Identifier
1225399132
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3564 Issued in OR
Legal business name
VALLEYVIEW CHIROPRACTIC & SPINE CENTER DBA GRESHAM CHIROPRACTIC CLINIC
Practice address
575 NE 2ND St
Gresham, OR 97030-7511
Phone
(503) 666-4531
Fax
(503) 665-9997
NPI assigned
Jun 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Authorized official

Name
Dr. Benjamin Lee Heath, D.C.
Title
Owner
Phone
(503) 489-1998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3564 OR Primary

Addresses

Primary practice location

575 NE 2ND St
Gresham, OR 97030-7511

Mailing address

575 NE 2ND St
Gresham, OR 97030-7511
Phone (503) 666-4531

National Provider Directory

National Provider Directory
Tax ID family
Valley View Chiropractic and Spine Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338940800000",
    "number": "1225399132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 NE 2ND ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307511",
            "telephone_number": "503-666-4531",
            "fax_number": "503-665-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 NE 2ND ST",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970307511",
            "telephone_number": "503-666-4531",
            "fax_number": "503-665-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEYVIEW CHIROPRACTIC & SPINE CENTER DBA GRESHAM CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-489-1998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gresham, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.