Main Street Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MAIN STREET CHIROPRACTIC LLC

Practice address

727 S Main St
Lebanon, OR 97355-3209

Phone

(541) 258-6744

Fax

(541) 258-8668

NPI assigned

Jun 30, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Leslie Clarence Pullen, D.C.

Title

Chiropractor/President

Phone

(541) 258-6744

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214784000000",
    "number": "1336301456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "727 S MAIN ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973553209",
            "telephone_number": "541-258-6744",
            "fax_number": "541-258-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 S MAIN ST",
            "city": "LEBANON",
            "state": "OR",
            "postal_code": "973553209",
            "telephone_number": "541-258-6744",
            "fax_number": "541-258-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-30",
        "last_updated": "2008-06-30",
        "status": "A",
        "authorized_official_last_name": "PULLEN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "CLARENCE",
        "authorized_official_title_or_position": "CHIROPRACTOR/PRESIDENT",
        "authorized_official_telephone_number": "541-258-6744",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nikki Adele Mackinder, COTA
• Whitney Macnab
• Sarah J Madison, LD
• Arielle Marie Naguiat Magpoc
• Shawn Mahmood
• Riley JL Mak
• Antonio Maldonado-Liu
• Karen Denise Mallozzi, ARNP
• Kayleigh Mang, RD
• Alessandro Mangili, MD

• Chiropractor in Lebanon, OR
• Providers in Lebanon, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; 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.