Organization Active NPI

Urban Health Chiropractic LLC

  • Chiropractor
  • Cornelius, OR
National Provider Identifier
1396360210
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
URBAN HEALTH CHIROPRACTIC LLC
Practice address
1610 N Adair St Ste D
Cornelius, OR 97113-8832
Phone
(503) 372-6016
NPI assigned
Jun 16, 2020
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ruben Acevedo III, DC, MS
Title
Chiropractor / Owner
Phone
(503) 372-6016

National Provider Directory

National Provider Directory

Locations

1610 N Adair St
Ste D
Cornelius, OR 97113
Phone (503) 372-6016

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

1610 N Adair St Ste D
Cornelius, OR 97113-8832

Mailing address

1610 N Adair St Ste D
Cornelius, OR 97113-8832
Phone (503) 372-6016

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 16, 2020.

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1396360210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 N ADAIR ST STE D",
            "city": "CORNELIUS",
            "state": "OR",
            "postal_code": "971138832",
            "telephone_number": "503-372-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 N ADAIR ST STE D",
            "city": "CORNELIUS",
            "state": "OR",
            "postal_code": "971138832",
            "telephone_number": "503-372-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN HEALTH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "CHIROPRACTOR / OWNER",
        "authorized_official_telephone_number": "503-372-6016",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DC, MS"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.