Organization Active NPI

Las Planicias de San Isidro

  • Health Service Clinic/Center
  • Ashland, OR
National Provider Identifier
1306029988
Registry record updated Mar 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
3778 Issued in OR
Legal business name
LAS PLANICIAS DE SAN ISIDRO
Practice address
450 Siskiyou Blvd
Suite 1
Ashland, OR 97520-5107
Phone
(541) 973-1222
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2009

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

Authorized official

Name
Dr. Walter Scott Wiese, DC
Title
President
Phone
(541) 972-1222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 3778 OR Primary

Addresses

Primary practice location

450 Siskiyou Blvd
Suite 1
Ashland, OR 97520-5107

Mailing address

450 Siskiyou Blvd.
Suite 1
Ashland, OR 97520
Phone (541) 973-1222

Other names 1

  • Wiese Chiropractic/discount chiropractic Former legal business name

National Provider Directory

National Provider Directory

Locations

305 W Moana Ln
Ste A
Reno, NV 89509
Phone (775) 332-1617

450 Siskiyou Blvd
Ste 1
Ashland, OR 97520
Phone (541) 488-3001

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238457600000",
    "number": "1306029988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 SISKIYOU BLVD.",
            "address_2": "SUITE 1",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "97520",
            "telephone_number": "541-973-1222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 SISKIYOU BLVD",
            "address_2": "SUITE 1",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975205107",
            "telephone_number": "541-973-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS PLANICIAS DE SAN ISIDRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2009-03-31",
        "status": "A",
        "authorized_official_last_name": "WIESE",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-972-1222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OR",
            "license": "3778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wiese Chiropractic/discount chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2009; 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.