Organization Active NPI

Brennan Chiropractic

  • Preferred Provider Organization
  • Salem, OR
National Provider Identifier
1447633482
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
4061 Issued in OR
Legal business name
BRENNAN CHIROPRACTIC
Practice address
1497 Lancaster Dr NE
Salem, OR 97301-1961
Phone
(352) 222-9280
Fax
(503) 589-1155
NPI assigned
Jul 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Dr. Kristen Anne Brennan, D.C.NPI 1437451267
Title
Member
Phone
(352) 222-9280

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
Preferred Provider Organization 305R00000X 4061 OR Primary

Addresses

Primary practice location

1497 Lancaster Dr NE
Salem, OR 97301-1961

Mailing address

1497 Lancaster Dr NE
Salem, OR 97301-1961
Phone (352) 222-9280

Other names 1

  • Salem Centro Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

1497 Lancaster Dr NE
Salem, OR 97301
Phone (503) 506-5028

Practitioners & affiliated clinicians

Practitioners 3

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": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1447633482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1497 LANCASTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011961",
            "telephone_number": "352-222-9280",
            "fax_number": "503-589-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 LANCASTER DR NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011961",
            "telephone_number": "352-222-9280",
            "fax_number": "503-589-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENNAN CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "BRENNAN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "352-222-9280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OR",
            "license": "4061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salem Centro Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.