NPIMap

Organization Active NPI

Roger D Stewart DC PC

  • Chiropractor
  • Canby, OR
National Provider Identifier
1407078645
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27 2246 Issued in OR
Legal business name
ROGER D STEWART DC PC
Practice address
725 SE 1St Ave
Canby, OR 97013-3810
Phone
(503) 266-5858
Fax
(503) 266-6773
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Dr. Roger D Stewart, DCNPI 1144278409
Title
President
Phone
(503) 266-5858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 27 2246 OR Primary

Addresses

Primary practice location

725 SE 1St Ave
Canby, OR 97013-3810

Mailing address

725 SE 1St Ave
Canby, OR 97013-3810
Phone (503) 266-5858

Other names 1

  • Canby Chiropractic Injury Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

725 SE 1st Ave
Canby, OR 97013
Phone (503) 266-5858

Practitioners & affiliated clinicians

Practitioners 4

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1407078645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 SE 1ST AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133810",
            "telephone_number": "503-266-5858",
            "fax_number": "503-266-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 SE 1ST AVE",
            "city": "CANBY",
            "state": "OR",
            "postal_code": "970133810",
            "telephone_number": "503-266-5858",
            "fax_number": "503-266-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER D STEWART DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-266-5858",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27 2246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Canby Chiropractic Injury Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canby, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.