Organization Active NPI

Wallowa Valley Chiropractic Inc.

  • Chiropractor
  • Enterprise, OR
National Provider Identifier
1356654032
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WALLOWA VALLEY CHIROPRACTIC INC.
Practice address
109 E Main St
Enterprise, OR 97828-1329
Phone
(541) 426-3101
Fax
(541) 426-3102
NPI assigned
Jul 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Dr. Gale A Barton, D.C.
Title
Owner
Phone
(541) 426-3101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

109 E Main St
Enterprise, OR 97828-1329

Mailing address

109 E Main St
Enterprise, OR 97828-1329
Phone (541) 426-3101

Other identifiers 1

IdentifierTypeStateIssuer
230834MedicaidOR

National Provider Directory

National Provider Directory

Locations

109 E Main St
Enterprise, OR 97828
Phone (541) 426-3101

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1356654032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E MAIN ST",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281329",
            "telephone_number": "541-426-3101",
            "fax_number": "541-426-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E MAIN ST",
            "city": "ENTERPRISE",
            "state": "OR",
            "postal_code": "978281329",
            "telephone_number": "541-426-3101",
            "fax_number": "541-426-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALLOWA VALLEY CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "BARTON",
        "authorized_official_first_name": "GALE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-426-3101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230834",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enterprise, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.