My Family Chiropractor, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

3243 Issued in OR

Legal business name

MY FAMILY CHIROPRACTOR, LLC

Practice address

655 NW Burnside Rd Ste 5
Gresham, OR 97030-3745

Phone

(503) 666-2298

Fax

(503) 492-2355

NPI assigned

Apr 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Daniel L Desjardins, DC

Title

Owner/Doctor

Phone

(503) 666-2298

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232409600000",
    "number": "1326211673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16409 SE DIVISION ST",
            "address_2": "SUITE 216, PMB 285",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972361931",
            "telephone_number": "503-666-2298",
            "fax_number": "503-492-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 NW BURNSIDE RD STE 5",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970303745",
            "telephone_number": "503-666-2298",
            "fax_number": "503-492-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FAMILY CHIROPRACTOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-08",
        "last_updated": "2009-01-20",
        "status": "A",
        "authorized_official_last_name": "DESJARDINS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "503-666-2298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "3243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASH DOC ID",
            "identifier": "1059020",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1215008834",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Ann Muth, D.O.
• Amanda Marie Muzzio, DDS
• Miriam Mwakibinga
• Peter Mwangi
• Tapita Mwangin
• Nicki Nabavizadeh, MD
• Naevia Non-Emergency Medical Transportation LLC
• Ellee Daskalos Nakashima, DPT
• Lisa M Napoli, MSW,QMHP
• Jamie Nash-Sedda

• Clinic/Center in Gresham, OR
• Providers in Gresham, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.