Organization Active NPI

Chiropractic 503 LLC

Doing business as Chiropractic 503

  • Chiropractor
  • Salem, OR
National Provider Identifier
1386146710
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3627 Issued in OR
Legal business name
CHIROPRACTIC 503 LLC
Doing business as
Chiropractic 503
Oregon Chiropractic Center
Practice address
1645 12TH St SE
Salem, OR 97302-2820
Phone
(503) 799-5023
NPI assigned
Mar 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Dr. Ryan A. McDaid, DC
Title
Owner/Operator
Phone
(503) 799-5023

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3627 OR Primary

Addresses

Primary practice location

1645 12TH St SE
Salem, OR 97302-2820

Mailing address

1645 12TH St SE
Salem, OR 97302-2820
Phone (503) 799-5023

Other names 2

  • Chiropractic 503 Doing business as
  • Oregon Chiropractic Center Doing business as

National Provider Directory

National Provider Directory

Locations

1645 12th St SE
Salem, OR 97302
Phone (503) 371-2044

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1386146710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 12TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022820",
            "telephone_number": "503-799-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 12TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022820",
            "telephone_number": "503-799-5023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC 503 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "MCDAID",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "503-799-5023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chiropractic 503",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Oregon Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.