NPIMap

Organization Active NPI

Mid-Valley Chiropractic Limited Liability Partnership

  • Chiropractor
  • Albany, OR
National Provider Identifier
1477084093
Registry record updated Jul 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5641 Issued in OR
Legal business name
MID-VALLEY CHIROPRACTIC LIMITED LIABILITY PARTNERSHIP
Practice address
943 Geary St SE
Albany, OR 97322-4904
Phone
(541) 967-7844
NPI assigned
Mar 24, 2017
Last updated
Jul 19, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2017

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

Authorized official

Name
Dr. Marisa Cassandra Aptecker, D.C.NPI 1063809697
Title
Chiropractor
Phone
(541) 967-7844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 5641 OR Primary

Addresses

Primary practice location

943 Geary St SE
Albany, OR 97322-4904

Mailing address

943 Geary St SE
Albany, OR 97322-4904
Phone (541) 967-7844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170727001999 OR Part B Supplier - Clinic/Group Practice 8426328121 Receives reassigned benefits from 2 practitioners
Practice locations: Albany, OR

National Provider Directory

National Provider Directory

Locations

909 Elm St SW
Albany, OR 97321
Phone (541) 967-7844

943 Geary St SE
Albany, OR 97322
Phone (541) 967-7844

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500422400000",
    "number": "1477084093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "943 GEARY ST SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973224904",
            "telephone_number": "541-967-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "943 GEARY ST SE",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973224904",
            "telephone_number": "541-967-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-VALLEY CHIROPRACTIC LIMITED LIABILITY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-07-19",
        "status": "A",
        "authorized_official_last_name": "APTECKER",
        "authorized_official_first_name": "MARISA",
        "authorized_official_middle_name": "CASSANDRA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "541-967-7844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5641",
            "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 19, 2017; 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.