Organization Active NPI

Cline Chiropractic Rehabilitation Center LLC.

  • Chiropractor
  • Roseburg, OR
National Provider Identifier
1518138239
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3494 Issued in OR
Legal business name
CLINE CHIROPRACTIC REHABILITATION CENTER LLC.
Practice address
5010 Grange Rd
Suite 103
Roseburg, OR 97470-5846
Phone
(541) 679-0741
Fax
(541) 679-0751
NPI assigned
Mar 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Dr. Nicholas David Cline, D.C.NPI 1508930942
Title
Owner/Chiropractor
Phone
(541) 679-0741

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 3494 OR Primary

Addresses

Primary practice location

5010 Grange Rd
Suite 103
Roseburg, OR 97470-5846

Mailing address

5010 Grange Rd
Suite 103
Roseburg, OR 97470-5846
Phone (541) 679-0741

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050722000857 OR Part B Supplier - Clinic/Group Practice 7911934799 Receives reassigned benefits from 1 practitioner
Practice locations: Roseburg, OR

National Provider Directory

National Provider Directory

Locations

5010 Grange Rd
Ste 103
Roseburg, OR 97471
Phone (541) 679-0741

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": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1518138239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5010 GRANGE RD",
            "address_2": "SUITE 103",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974705846",
            "telephone_number": "541-679-0741",
            "fax_number": "541-679-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5010 GRANGE RD",
            "address_2": "SUITE 103",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974705846",
            "telephone_number": "541-679-0741",
            "fax_number": "541-679-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINE CHIROPRACTIC REHABILITATION CENTER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "541-679-0741",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.