Individual provider Active NPI

Theresa Marie Rubadue-Doi, D.C.

  • Chiropractor
  • Bend, OR
National Provider Identifier
1457332371
Registry record updated Oct 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27 1951 Issued in OR
Practice address
628 NW York Dr Ste 104
Bend, OR 97701-1572
Phone
(541) 388-2429
Fax
(541) 388-2439
NPI assigned
Nov 8, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 27 1951 OR Primary
Chiropractor 111N00000X 5104 OR

Addresses

Primary practice location

628 NW York Dr Ste 104
Bend, OR 97701-1572

Mailing address

628 NW York Dr
Suite 104
Bend, OR 97703-1572
Phone (541) 388-2429

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27 1951ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Theresa M. Rubadue-Doi DC, LLC Chiropractor CurrentSince Jan 1, 1990 Accepting new patients

Locations

628 NW York Dr
Ste 104
Bend, OR 97703
Phone (541) 383-8988

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445817600000",
    "number": "1457332371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 NW YORK DR",
            "address_2": "SUITE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977031572",
            "telephone_number": "541-388-2429",
            "fax_number": "541-388-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 NW YORK DR STE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011572",
            "telephone_number": "541-388-2429",
            "fax_number": "541-388-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBADUE-DOI",
        "first_name": "THERESA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-08",
        "last_updated": "2015-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27 1951",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5104",
            "primary": false
        }
    ],
    "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 Oct 26, 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.