NPIMap

Organization Active NPI

Phoenix Chiropractic, LLC

  • Clinic/Center
  • Portland, OR
National Provider Identifier
1396923090
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3470 Issued in OR
Legal business name
PHOENIX CHIROPRACTIC, LLC
Practice address
801 NE 28TH Ave
Portland, OR 97232-2408
Phone
(503) 281-4997
NPI assigned
Feb 5, 2008
Last updated
May 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2010

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

Authorized official

Name
Dr. Anthony David Marrone, DCNPI 1518919851
Title
Owner
Phone
(503) 281-4997

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 3470 OR Primary

Addresses

Primary practice location

801 NE 28TH Ave
Portland, OR 97232-2408

Mailing address

801 NE 28TH Ave
Portland, OR 97232-2408

National Provider Directory

National Provider Directory

Locations

801 NE 28th Ave
Portland, OR 97232
Phone (503) 281-4997

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1396923090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 NE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 NE 28TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322408",
            "telephone_number": "503-281-4997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "MARRONE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-281-4997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "3470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.