NPIMap

Organization Active NPI

Aspen Chiropractic and Health Center P.C.

  • Chiropractor
  • Cottage Grove, OR
National Provider Identifier
1407039092
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3577 Issued in OR
Legal business name
ASPEN CHIROPRACTIC AND HEALTH CENTER P.C.
Practice address
1054 E Main St
Cottage Grove, OR 97424-2230
Phone
(541) 767-3788
Fax
(541) 946-1057
NPI assigned
Dec 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Dr. Travis James Davis, D.C.
Title
President
Phone
(541) 767-3788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3577 OR Primary

Addresses

Primary practice location

1054 E Main St
Cottage Grove, OR 97424-2230

Mailing address

1054 E Main St
Cottage Grove, OR 97424-2230
Phone (541) 767-3788

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1407039092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1054 E MAIN ST",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974242230",
            "telephone_number": "541-767-3788",
            "fax_number": "541-946-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 E MAIN ST",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974242230",
            "telephone_number": "541-767-3788",
            "fax_number": "541-946-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN CHIROPRACTIC AND HEALTH CENTER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-767-3788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.