Active NPI
Vip B Short, D.C.
- Chiropractor
- Eugene, OR
National Provider Identifier
1487825212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 271747
- Practice address
- 1448 E 22ND Ave
Eugene, OR 97403-1703 - Phone
- (541) 342-4476
- Fax
- (541) 343-4359
- NPI assigned
- Mar 19, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 271747 | OR | Primary |
Addresses
Primary practice location
1448 E 22ND Ave
Eugene, OR 97403-1703
Mailing address
1448 E 22ND Ave
Eugene, OR 97403-1703
Phone (541) 342-4476
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R117075 | Other | OR | MEDICARE PTAN/LEGACY NUMB |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 271747 | OR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205884800000",
"number": "1487825212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1448 E 22ND AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974031703",
"telephone_number": "541-342-4476",
"fax_number": "541-343-4359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1448 E 22ND AVE",
"city": "EUGENE",
"state": "OR",
"postal_code": "974031703",
"telephone_number": "541-342-4476",
"fax_number": "541-343-4359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHORT",
"first_name": "VIP",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-19",
"last_updated": "2008-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "271747",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN/LEGACY NUMB",
"identifier": "R117075",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eugene, OR
- Paul Charles Shoemaker, P.T.
- Shopko Stores Operating Co LLC (ShopKo Pharmacy 098)
- Shopko Stores Operating Co LLC (ShopKo Optical 098)
- Shopko Stores Operating Co. LLC (ShopKo Optical 094)
- Shopko Stores Operating Co. LLC (ShopKo Pharmacy 094)
- Wendy Ann Short, LPN
- Emily Katherine Shortreed, PA-C
- Shoshana D Kerewsky PSYD LLC
- Kenneth M. Shou, D.D.S.
- Lillian Jane Shoupe
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.