DDN Enterprises LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

273359 Issued in OR

Legal business name

DDN ENTERPRISES LLC

Practice address

4265 SW 109TH Ave
Beaverton, OR 97005-3028

Phone

(503) 526-8600

Fax

(503) 643-1006

NPI assigned

Jun 27, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Dennis Allen Nowack, D.C.NPI 1639117336

Title

Owner

Phone

(503) 526-8600

Specialties & licenses 2

Addresses

Other names 1

• Oregon Wellness Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dennis Nowack, DC

  • Chiropractor
  • Beaverton, OR
  • NPI 1639117336
  NPD (past) Authorized official

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1346447166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 SW 109TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053028",
            "telephone_number": "503-526-8600",
            "fax_number": "503-643-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4265 SW 109TH AVE",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053028",
            "telephone_number": "503-526-8600",
            "fax_number": "503-643-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DDN ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "NOWACK",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-526-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273359",
            "primary": true
        },
        {
            "code": "175F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Naturopath",
            "state": "OR",
            "license": "1419",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oregon Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Josette Makanani Davis, LPC
• Laura A. Davis, LCSW
• Valentina Davis
• Courtney Day, N.D.
• Kelsey Marie Day
• Isaiah Fabian De Alba
• Kimberly De Alto, D.C.
• Allie De la Cruz
• Imperia De la O
• Aura Theresa Bondoc De Olazo, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.