Active NPI
Dansar LTD Inc
Doing business as Advanced Care Chiropractic
- Chiropractor
- Gresham, OR
National Provider Identifier
1326180969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 71 3666
- Legal business name
- DANSAR LTD INC
- Doing business as
- Advanced Care Chiropractic
- Practice address
- 837 E Powell Blvd
Gresham, OR 97030-7617 - Phone
- (503) 669-9495
- Fax
- (503) 669-8257
- NPI assigned
- Feb 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Brian L Vroom, D.C.
- Title
- President, Chiropractor
- Phone
- (503) 669-9495
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 27 2936 | OR | |
| Chiropractor | 111N00000X | 71 3666 | OR | Primary |
Addresses
Primary practice location
837 E Powell Blvd
Gresham, OR 97030-7617
Mailing address
837 E Powell Blvd
Gresham, OR 97030-7617
Phone (503) 669-9495
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215913637 | Other | OR | NPI-DR BRIAN L VROOM |
| 1316091275 | Other | OR | NPI-DR MICHELLE WAGGONER |
Other names 1
- Advanced Care Chiropractic
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1326180969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "837 E POWELL BLVD",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307617",
"telephone_number": "503-669-9495",
"fax_number": "503-669-8257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "837 E POWELL BLVD",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970307617",
"telephone_number": "503-669-9495",
"fax_number": "503-669-8257"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANSAR LTD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VROOM",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT, CHIROPRACTOR",
"authorized_official_telephone_number": "503-669-9495",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OR",
"license": "27 2936",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "OR",
"license": "71 3666",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI-DR BRIAN L VROOM",
"identifier": "1215913637",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI-DR MICHELLE WAGGONER",
"identifier": "1316091275",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Care Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Gresham, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.