Organization Active NPI

Kip Thompson DC LLC

Doing business as Catalyst Chiropractic and Rehabilitation

  • Clinic/Center
  • Beaverton, OR
National Provider Identifier
1396013066
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3996 Issued in OR
Legal business name
KIP THOMPSON DC LLC
Doing business as
Catalyst Chiropractic and Rehabilitation
Practice address
13025 SW Millikan Way
Ste 120
Beaverton, OR 97005-2562
Phone
(503) 526-8782
Fax
(503) 526-8721
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Dr. Kip Thompson, DC
Title
Owner
Phone
(503) 526-8782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 3996 OR Primary

Addresses

Primary practice location

13025 SW Millikan Way
Ste 120
Beaverton, OR 97005-2562

Mailing address

13025 SW Millikan Way
Ste 120
Beaverton, OR 97005-2562
Phone (503) 526-8782

Other names 1

  • Catalyst Chiropractic and Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

13025 SW Millikan Way
Ste 120
Beaverton, OR 97005
Phone (503) 526-8782

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": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1396013066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13025 SW MILLIKAN WAY",
            "address_2": "STE 120",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052562",
            "telephone_number": "503-526-8782",
            "fax_number": "503-526-8721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13025 SW MILLIKAN WAY",
            "address_2": "STE 120",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970052562",
            "telephone_number": "503-526-8782",
            "fax_number": "503-526-8721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIP THOMPSON DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "KIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-526-8782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "3996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catalyst Chiropractic and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; 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.