Organization Active NPI

Timber Linn Chiropractic Clinic PC

  • Chiropractor
  • Albany, OR
National Provider Identifier
1447762786
Registry record updated Nov 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2284 Issued in OR
Legal business name
TIMBER LINN CHIROPRACTIC CLINIC PC
Practice address
2216 9TH Ave SE
Albany, OR 97322-5022
Phone
(541) 967-8060
NPI assigned
Oct 26, 2017
Last updated
Nov 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2017

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

Authorized official

Name
Nicholas Richard BrownNPI 1245286798
Title
President
Phone
(541) 967-8060

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
Chiropractor 111N00000X 2284 OR Primary

Addresses

Primary practice location

2216 9TH Ave SE
Albany, OR 97322-5022

Mailing address

2216 9TH Ave SE
Albany, OR 97322-5022
Phone (541) 967-8060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171129002701 OR Part B Supplier - Clinic/Group Practice 5799042792 Receives reassigned benefits from 1 practitioner
Practice locations: Albany, OR

National Provider Directory

National Provider Directory
Tax ID family
Timber Linn Chiropractic Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

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": "1508976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509494400000",
    "number": "1447762786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 9TH AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973225022",
            "telephone_number": "541-967-8060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 9TH AVE SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973225022",
            "telephone_number": "541-967-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBER LINN CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-26",
        "last_updated": "2017-11-01",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-967-8060"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "2284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.