Tillamook Chiropractic Incorporated

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

273157 Issued in OR

Legal business name

TILLAMOOK CHIROPRACTIC INCORPORATED

Practice address

312 Laurel Ave
Tillamook, OR 97141-2314

Phone

(503) 842-5951

Fax

(503) 842-5104

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Matthew S Waxter, DCNPI 1578635595

Title

President

Phone

(503) 842-5951

Specialties & licenses 1

Addresses

Other names 1

• Tillamook Chiropractic Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew S Waxter, DC

  • Chiropractor
  • Tillamook, OR
  • NPI 1578635595
  Medicare reassignment NPD Authorized official
• Jan L Bartlett, LCSW

  • Clinical Social Worker
  • Tillamook, OR
  • NPI 1538154992
  NPD (past)
• Ruth Halluin Smith, LPC

  • Professional Counselor
  • Tillamook, OR
  • NPI 1992716773
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437004800000",
    "number": "1265504286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 LAUREL AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971412314",
            "telephone_number": "503-842-5951",
            "fax_number": "503-842-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 LAUREL AVE",
            "city": "TILLAMOOK",
            "state": "OR",
            "postal_code": "971412314",
            "telephone_number": "503-842-5951",
            "fax_number": "503-842-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TILLAMOOK CHIROPRACTIC INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2015-07-16",
        "status": "A",
        "authorized_official_last_name": "WAXTER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-842-5951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tillamook Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa W Syversen, CADC I
• Allyson Marie Taylor, MA, LPA
• Ashley Lisa Thiessen, NP, DNP
• Thompson Mainstay LLC
• Tiffani a. Long DDS
• Tillamook County Public Health
• Tillamook County Transportation District
• Tillamook Denture Clinic
• Tillamook Dialysis Center, LLC
• Tillamook Family Counseling Center

• Chiropractor in Tillamook, OR
• Providers in Tillamook, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; 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.