Organization Active NPI

Suzanne D. Lady, DC, PC

  • Chiropractor
  • Portland, OR
National Provider Identifier
1487825295
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3046 Issued in OR
Legal business name
SUZANNE D. LADY, DC, PC
Practice address
5517 N Commercial Ave
Portland, OR 97217-2339
Phone
(503) 223-0900
Fax
(503) 223-1188
NPI assigned
Mar 19, 2008
Organization subpart
Yes
Parent organization
SUZANNE D. LADY, DC, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Authorized official

Name
Dr. Suzanne Denise Lady, DC
Title
Owner
Phone
(503) 223-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3046 OR Primary

Addresses

Primary practice location

5517 N Commercial Ave
Portland, OR 97217-2339

Mailing address

5517 N Commercial Ave
Portland, OR 97217-2339
Phone (503) 223-0900

National Provider Directory

National Provider Directory
Part of
Suzanne D Lady DC PC

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1487825295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5517 N COMMERCIAL AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172339",
            "telephone_number": "503-223-0900",
            "fax_number": "503-223-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5517 N COMMERCIAL AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972172339",
            "telephone_number": "503-223-0900",
            "fax_number": "503-223-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE D. LADY, DC, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUZANNE D. LADY, DC, PC",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "LADY",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-223-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3046",
            "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 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.

Verify at the official NPI Registry.