Organization Active NPI

Journey Through Healing Chiropractic Center, LLC

  • Nutrition Chiropractor
  • Salem, OR
National Provider Identifier
1225458524
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
3950 Issued in OR
Legal business name
JOURNEY THROUGH HEALING CHIROPRACTIC CENTER, LLC
Practice address
830 Saginaw St S
Salem, OR 97302-4122
Phone
(503) 480-0200
Fax
(503) 480-0203
NPI assigned
Apr 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Laurie A Hubbell-Smith, DC
Title
Manager
Phone
(503) 480-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN1001X 3950 OR Primary

Addresses

Primary practice location

830 Saginaw St S
Salem, OR 97302-4122

Mailing address

830 Saginaw St S
Salem, OR 97302-4122
Phone (503) 480-0200

Other identifiers 1

IdentifierTypeStateIssuer
500652533MedicaidOR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160926000454 OR Part B Supplier - Clinic/Group Practice 9931496593 Receives reassigned benefits from 1 practitioner
Practice locations: Salem, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1398297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1225458524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 SAGINAW ST S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024122",
            "telephone_number": "503-480-0200",
            "fax_number": "503-480-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 SAGINAW ST S",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024122",
            "telephone_number": "503-480-0200",
            "fax_number": "503-480-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY THROUGH HEALING CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-24",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "HUBBELL-SMITH",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-480-0200",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Nutrition",
            "state": "OR",
            "license": "3950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500652533",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.