NPIMap

Organization Active NPI

Mark Diaz D.C. P.C.

Doing business as Ash Creek Chiropractic

  • Chiropractor
  • Independence, OR
National Provider Identifier
1295013944
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3816 Issued in OR
Legal business name
MARK DIAZ D.C. P.C.
Doing business as
Ash Creek Chiropractic
Practice address
226 S Main St
Ste C
Independence, OR 97351-2070
Phone
(503) 838-1951
Fax
(503) 606-2087
NPI assigned
Jul 29, 2011
Last updated
Jul 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Authorized official

Name
Dr. Mark Jeffery Diaz, D.C.NPI 1245405893
Title
President
Phone
(503) 838-1951

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3816 OR Primary

Addresses

Primary practice location

226 S Main St
Ste C
Independence, OR 97351-2070

Mailing address

226 S Main St
Ste C
Independence, OR 97351-2070
Phone (503) 838-1951

Other identifiers 1

IdentifierTypeStateIssuer
1245405893OtherINDIVIDUAL NPI

Other names 1

  • Ash Creek Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

226 S Main St
Ste C
Independence, OR 97351
Phone (503) 803-1951

226 S Main St
Ste D
Independence, OR 97351
Phone (503) 803-1951

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": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1295013944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 S MAIN ST",
            "address_2": "STE C",
            "city": "INDEPENDENCE",
            "state": "OR",
            "postal_code": "973512070",
            "telephone_number": "503-838-1951",
            "fax_number": "503-606-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 S MAIN ST",
            "address_2": "STE C",
            "city": "INDEPENDENCE",
            "state": "OR",
            "postal_code": "973512070",
            "telephone_number": "503-838-1951",
            "fax_number": "503-606-2087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARK DIAZ D.C. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-838-1951",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1245405893",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ash Creek Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.