NPIMap

Organization Active NPI

Bruce Baxter Pace

Doing business as Forest Grove Chiropractic

  • Chiropractor
  • Forest Grove, OR
National Provider Identifier
1487931242
Registry record updated Nov 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BRUCE BAXTER PACE
Doing business as
Forest Grove Chiropractic
Practice address
3201 19TH Ave
Ste a
Forest Grove, OR 97116-1911
Phone
(503) 357-4441
Fax
(503) 359-7941
NPI assigned
Nov 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2011

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

Authorized official

Name
Dr. Bruce B Pace, DCNPI 1578595732
Title
Owner
Phone
(503) 357-4441

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 Primary

Addresses

Primary practice location

3201 19TH Ave
Ste a
Forest Grove, OR 97116-1911

Mailing address

3201 19TH Ave
Suite a
Forest Grove, OR 97116-1911
Phone (503) 357-4441

Other names 1

  • Forest Grove Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1487931242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 19TH AVE",
            "address_2": "SUITE A",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161911",
            "telephone_number": "503-357-4441",
            "fax_number": "503-359-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 19TH AVE",
            "address_2": "STE A",
            "city": "FOREST GROVE",
            "state": "OR",
            "postal_code": "971161911",
            "telephone_number": "503-357-4441",
            "fax_number": "503-359-7941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE BAXTER PACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-08",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-357-4441",
        "authorized_official_name_prefix": "Dr.",
        "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": [
        {
            "organization_name": "Forest Grove Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest Grove, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2011; 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.