Stayton Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

STAYTON CHIROPRACTIC, LLC

Practice address

561 N 1St Ave
Stayton, OR 97383-1703

Phone

(503) 767-3410

Fax

(503) 767-3411

NPI assigned

Mar 11, 2019

Organization subpart

No

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

Authorized official

Name

Cody Leder, DCNPI 1821454844

Title

Onwer/Chiropractic Physician

Phone

(503) 767-3410

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cody Allen Leder, DC

  • Chiropractor
  • Keizer, OR
  • NPI 1821454844
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1477011245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 N 1ST AVE",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831703",
            "telephone_number": "503-767-3410",
            "fax_number": "503-767-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 N 1ST AVE",
            "city": "STAYTON",
            "state": "OR",
            "postal_code": "973831703",
            "telephone_number": "503-767-3410",
            "fax_number": "503-767-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAYTON CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "LEDER",
        "authorized_official_first_name": "CODY",
        "authorized_official_title_or_position": "ONWER/CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "503-767-3410",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Marie Sherman, NP
• John Silver, M.D.
• Alison Adele Smith
• Meghan Dionndra Smith, DPT
• Christian Lee Spencer, P.A.
• Stayton Family Practice Inc
• Stayton Family Practice LLC
• Stayton Pharmacy, LLC
• Stayton SW Assisted Living LLC
• Elizabeth Stefan, RPH

• Chiropractor in Stayton, OR
• Providers in Stayton, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.