NPIMap

Organization Active NPI

MC Chiropractic

  • Chiropractor
  • Medford, OR
National Provider Identifier
1285869040
Registry record updated Jun 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3775 Issued in OR
Legal business name
MC CHIROPRACTIC
Practice address
1550 Biddle Rd
Ste. D
Medford, OR 97504-4691
Phone
(541) 858-3385
Fax
(541) 858-6672
NPI assigned
May 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2010

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

Authorized official

Name
Dr. Matthew Cacka, D.C.
Title
Sole Member/Owner
Phone
(541) 858-3385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3775 OR 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) 858-3385

Other names 1

  • HealthBack Chiropractic Clinic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276041600000",
    "number": "1285869040",
    "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": "541-858-3385",
            "fax_number": "541-858-6672"
        },
        {
            "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": "541-858-3385",
            "fax_number": "541-858-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2010-06-09",
        "status": "A",
        "authorized_official_last_name": "CACKA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "541-858-3385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthBack Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 9, 2010; 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.