NPIMap

Organization Active NPI

Keizer Chiropractic Clinic PC

  • Chiropractor
  • Keizer, OR
National Provider Identifier
1467580852
Registry record updated Jul 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3020 Issued in OR
Legal business name
KEIZER CHIROPRACTIC CLINIC PC
Practice address
115 McNary Estates Dr N Ste E
Keizer, OR 97303-7492
Phone
(503) 390-5552
Fax
(503) 390-5994
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2017

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

Authorized official

Name
David S. Weaver, D.C.
Title
President
Phone
(503) 390-5552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3020 OR Primary

Addresses

Primary practice location

115 McNary Estates Dr N Ste E
Keizer, OR 97303-7492

Mailing address

115 McNary Estates Dr N Ste E
Keizer, OR 97303-7492
Phone (503) 390-5552

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499040000000",
    "number": "1467580852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MCNARY ESTATES DR N STE E",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973037492",
            "telephone_number": "503-390-5552",
            "fax_number": "503-390-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MCNARY ESTATES DR N STE E",
            "city": "KEIZER",
            "state": "OR",
            "postal_code": "973037492",
            "telephone_number": "503-390-5552",
            "fax_number": "503-390-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEIZER CHIROPRACTIC CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2017-07-03",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-390-5552",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keizer, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2017; 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.