Individual provider Active NPI

Philip G Buchovecky, D.C.

  • Chiropractor
  • Albany, OR
National Provider Identifier
1467459875
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27-3312 Issued in OR
Practice address
530 Ellsworth St SW
Albany, OR 97321-2363
Phone
(541) 926-6911
NPI assigned
Jun 30, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 27-3312 OR Primary

Addresses

Primary practice location

530 Ellsworth St SW
Albany, OR 97321-2363

Mailing address

530 Ellsworth St SW
Albany, OR 97321-2363
Phone (541) 926-6911

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
27-3312ORMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Management Services, P.C. Chiropractor PastSince Dec 7, 2013 Accepting new patients
Albany Chiropractic Clinic Chiropractor PastSince Jan 1, 1990 Accepting new patients
Willamette Valley Spine Solutions, PC Chiropractor PastSince Jan 20, 2018 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467459875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 ELLSWORTH ST SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212363",
            "telephone_number": "541-926-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 ELLSWORTH ST SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212363",
            "telephone_number": "541-926-6911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHOVECKY",
        "first_name": "PHILIP",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-3312",
            "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 Jul 8, 2007; 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.