Organization Active NPI

Prentice Chiropractic LLC

  • Chiropractor
  • Bend, OR
National Provider Identifier
1447867866
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
PRENTICE CHIROPRACTIC LLC
Practice address
1334 NE 2ND St
Bend, OR 97701-4344
Phone
(541) 797-6530
Fax
(541) 318-0964
NPI assigned
Sep 29, 2020
Last updated
Feb 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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

Authorized official

Name
Patrick T Prentice, DCNPI 1275021149
Title
Owner
Phone
(360) 485-5394

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 NU Primary

Addresses

Primary practice location

1334 NE 2ND St
Bend, OR 97701-4344

Mailing address

1334 NE 2ND St
Bend, OR 97701-4344
Phone (541) 797-6530

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250318001168 OR Part B Supplier - Clinic/Group Practice 2668994807 Receives reassigned benefits from 1 practitioner
Practice locations: Bend, OR

National Provider Directory

National Provider Directory

Locations

1334 NE 2nd St
Bend, OR 97701
Phone (541) 797-5800

3052 NW Merchant Way
Ste 100
Bend, OR 97703
Phone (541) 797-5800

Practitioners & affiliated clinicians

Practitioners 9

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": "1601337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739577600000",
    "number": "1447867866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1334 NE 2ND ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014344",
            "telephone_number": "541-797-6530",
            "fax_number": "541-318-0964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1334 NE 2ND ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014344",
            "telephone_number": "541-797-6530",
            "fax_number": "541-318-0964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRENTICE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-29",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "PRENTICE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-485-5394",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; 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.