NPIMap

Organization Active NPI

NWMC Chiropractic and Massage LLC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1467854323
Registry record updated Oct 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3923 Issued in OR
Legal business name
NWMC CHIROPRACTIC AND MASSAGE LLC
Practice address
10247 NE Clackamas St
Portland, OR 97220-3915
Phone
(503) 206-6078
NPI assigned
Sep 23, 2014
Last updated
Oct 23, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2014

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

Authorized official

Name
Mr. Alexi Gudishvili
Title
Manager
Phone
(646) 462-0407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3923 OR Primary

Addresses

Primary practice location

10247 NE Clackamas St
Portland, OR 97220-3915

Mailing address

10247 NE Clackamas St
Portland, OR 97220-3915

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1411430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1467854323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10247 NE CLACKAMAS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10247 NE CLACKAMAS ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972203915",
            "telephone_number": "503-206-6078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NWMC CHIROPRACTIC AND MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-23",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "GUDISHVILI",
        "authorized_official_first_name": "ALEXI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "646-462-0407",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.