Organization Active NPI

Elements of Health & Wellness, Inc.

  • Chiropractor
  • Cave Junction, OR
National Provider Identifier
1316039787
Registry record updated Dec 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3545 Issued in OR
Legal business name
ELEMENTS OF HEALTH & WELLNESS, INC.
Practice address
202 W. Lister St
Cave Junction, OR 97523
Phone
(541) 592-6220
Fax
(541) 592-6375
NPI assigned
Sep 29, 2006
Last updated
Dec 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2007

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

Authorized official

Name
Dr. Ross Christopher Keys, D.C.
Title
Secretary/Treasurer
Phone
(541) 592-6220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3545 OR Primary

Addresses

Primary practice location

202 W. Lister St
Cave Junction, OR 97523

Mailing address

202 W. Lister St
PO Box 9118
Cave Junction, OR 97523
Phone (541) 592-6220

Other identifiers 2

IdentifierTypeStateIssuer
P00307145OtherORCHIROPRACTIC
J3403-01OtherORCHIROPRACTIC

National Provider Directory

National Provider Directory

Locations

1288 SW Simpson Ave
Bend, OR 97702
Phone (541) 312-2004

1288 SW Simpson Ave
Ste K
Bend, OR 97702
Phone (541) 383-5887

160 SW Scalehouse Loop
Ste 160
Bend, OR 97702
Phone (541) 312-4316

Practitioners & affiliated clinicians

Practitioners 3

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": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1316039787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W. LISTER ST",
            "address_2": "PO BOX 9118",
            "city": "CAVE JUNCTION",
            "state": "OR",
            "postal_code": "97523",
            "telephone_number": "541-592-6220",
            "fax_number": "541-592-6375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W. LISTER ST",
            "city": "CAVE JUNCTION",
            "state": "OR",
            "postal_code": "97523",
            "telephone_number": "541-592-6220",
            "fax_number": "541-592-6375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEMENTS OF HEALTH & WELLNESS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "KEYS",
        "authorized_official_first_name": "ROSS",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "541-592-6220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3545",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC",
            "identifier": "P00307145",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC",
            "identifier": "J3403-01",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cave Junction, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.