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Organization Active NPI

Eagle Chiropractic

  • Chiropractor
  • Roseburg, OR
National Provider Identifier
1285847772
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
273085 Issued in OR
Legal business name
EAGLE CHIROPRACTIC
Practice address
315 NE Nash St
Roseburg, OR 97470-3245
Phone
(541) 677-6300
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Loren D Bassett, DC
Title
President
Phone
(541) 677-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 273085 OR Primary

Addresses

Primary practice location

315 NE Nash St
Roseburg, OR 97470-3245

Mailing address

315 NE Nash St
Roseburg, OR 97470-3245
Phone (541) 677-6300

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285847772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 NE NASH ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703245",
            "telephone_number": "541-677-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 NE NASH ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703245",
            "telephone_number": "541-677-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BASSETT",
        "authorized_official_first_name": "LOREN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-677-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.