Organization Active NPI

Flock Chiropractic Clinic Inc

  • Chiropractor
  • Medford, OR
National Provider Identifier
1225660590
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FLOCK CHIROPRACTIC CLINIC INC
Practice address
1550 Biddle Rd
Ste #D
Medford, OR 97504-4691
Phone
(541) 779-9650
Fax
(541) 779-5315
NPI assigned
Feb 5, 2020
Last updated
Feb 5, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

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

Authorized official

Name
Gail Y Flock, D.C.NPI 1700957909
Title
President
Phone
(541) 779-9650

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 NU Primary

Addresses

Primary practice location

1550 Biddle Rd
Ste #D
Medford, OR 97504-4691

Mailing address

1550 Biddle Rd
Ste #D
Medford, OR 97504-4691
Phone (541) 779-9650

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200526001247 OR Part B Supplier - Clinic/Group Practice 4385065580 Receives reassigned benefits from 1 practitioner
Practice locations: Medford, OR

National Provider Directory

National Provider Directory

Locations

1550 Biddle Rd
Ste D
Medford, OR 97504
Phone (541) 779-9650

Practitioners & affiliated clinicians

Practitioners 1

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": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1225660590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 BIDDLE RD",
            "address_2": "STE #D",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044691",
            "telephone_number": "541-779-9650",
            "fax_number": "541-779-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 BIDDLE RD",
            "address_2": "STE #D",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044691",
            "telephone_number": "541-779-9650",
            "fax_number": "541-779-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOCK CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "FLOCK",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-779-9650",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; 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.