NPIMap

Mid-Valley Chiropractic Limited Liability Partnership

Organization Active NPI Chiropractor · Albany, OR

NPI 1477084093 · NPPES record last updated Jul 19, 2017

Key facts

NPI
1477084093
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
5641 (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
Organization subpart
No

Authorized official

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

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

Practitioners 4

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OR

Medicare enrollment records

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

Locations

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

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP		 111N00000X 5641 OR Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 19, 2017.

{
    "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

All providers in Albany, OR · Chiropractor in Oregon

Sources for this page

Verify at the official NPI Registry.