NPIMap

Organization Active NPI

Newberg Family Chiropractic PC

  • Chiropractor
  • Newberg, OR
National Provider Identifier
1295844116
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27-3356 Issued in OR
Legal business name
NEWBERG FAMILY CHIROPRACTIC PC
Practice address
114 E Hancock St
Newberg, OR 97132-2822
Phone
(503) 554-0661
Fax
(503) 554-9126
NPI assigned
Aug 30, 2006
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. Julie E Mock, D.C.NPI 1316054711
Title
Owner
Phone
(503) 554-0661

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 27-3356 OR Primary

Addresses

Primary practice location

114 E Hancock St
Newberg, OR 97132-2822

Mailing address

114 E Hancock St
Newberg, OR 97132-2822
Phone (503) 554-0661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061221000237 OR Part B Supplier - Clinic/Group Practice 0941209936 Receives reassigned benefits from 4 practitioners
Practice locations: Newberg, OR

National Provider Directory

National Provider Directory

Locations

114 E Hancock St
Newberg, OR 97132
Phone (503) 537-4211

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295844116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E HANCOCK ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322822",
            "telephone_number": "503-554-0661",
            "fax_number": "503-554-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E HANCOCK ST",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971322822",
            "telephone_number": "503-554-0661",
            "fax_number": "503-554-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWBERG FAMILY CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOCK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-554-0661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-3356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newberg, 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.
  • 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.