Wayne R Nelson, DC, ACRB-L2

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

2714 Issued in OR

Practice address

335 S Spring St
Klamath Falls, OR 97601-5947

Phone

(541) 887-2223

Fax

(541) 887-2228

NPI assigned

Feb 20, 2007

Last updated

Feb 11, 2014By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

ChiropracticAlso: Physical Medicine and Rehabilitation

Education

Los Angeles College of Chiropractic, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Condition for Life

  • Chiropractor
  • Klamath Falls, OR
  • NPI 1366706053
  Medicare reassignment NPD Authorized official
• James M Yewchuk Chiropractic Professional Corporation

  • Chiropractor
  • Klamath Falls, OR
  • NPI 1154548295
  NPD (past)
• Pine Tree Chiropractic PC

  • Chiropractor
  • Klamath Falls, OR
  • NPI 1861677783
  NPD (past)

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1265577217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 S SPRING ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976015947",
            "telephone_number": "541-887-2223",
            "fax_number": "541-887-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 S SPRING ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976015947",
            "telephone_number": "541-887-2223",
            "fax_number": "541-887-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "WAYNE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DC, ACRB-L2",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "CA",
            "license": "21451",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OR",
            "license": "2714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil J Neisner
• Angela Carol Nelson
• Debra Jean Nelson, PTA
• Jennifer Nelson
• Kimberly Suezanne Nelson, L.M.T.
• Joshua Owen Ness, MD
• Charles Paul Neuber
• New Life Substance Counseling
• Candace Newbold, FNP-BC
• China Rae Newman, MD

• Rehabilitation Chiropractor in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Rehabilitation Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.