Erica M. Staehle, LLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1951 Issued in OR

Legal business name

ERICA M. STAEHLE, LLC

Doing business as

NorthWest Crossing Chiropractic & Health

Practice address

628 NW York Dr Ste 104
Bend, OR 97701-1572

Phone

(541) 388-2429

Fax

(541) 388-2439

NPI assigned

Oct 9, 2014

Last updated

Dec 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erica StaehleNPI 1205269446

Title

Owner, Chiropractor

Phone

(503) 975-8556

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• NorthWest Crossing Chiropractic & Health Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Tax ID family

Theresa M Rubadue-Doi DC LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Theresa M. Rubadue-Doi DC, LLC

  dba NorthWest Crossing Chiropractic & Health

  • Chiropractor
  • Bend, OR
  • NPI 1205546629
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erica Marie Staehle, D.C.

  • Chiropractor
  • Bend, OR
  • NPI 1205269446
  Medicare reassignment Care Compare group NPD Authorized official
• Jordan Doi, MSC, DC

  • Chiropractor
  • Bend, OR
  • NPI 1366789802
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1548664279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 NW YORK DR STE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011572",
            "telephone_number": "541-388-2429",
            "fax_number": "541-388-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 NW YORK DR STE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011572",
            "telephone_number": "541-388-2429",
            "fax_number": "541-388-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERICA M. STAEHLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "STAEHLE",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER, CHIROPRACTOR",
        "authorized_official_telephone_number": "503-975-8556"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "5104",
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "1951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1457332371",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1366789802",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthWest Crossing Chiropractic & Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NorthWest Crossing Chiropractic & Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Amy Kreutzer Erber, ARNP
• Eric M Cadwell DDS PLLC (PureCare Dental of Bend)
• Brian L. Erickson, MD
• Carolynne Michele Erickson
• Malia Erickson, CRM
• Signy Erickson, DC
• Layla Ericson, PA-C

• Sports Physician Chiropractor in Bend, OR
• Providers in Bend, OR by specialty
• Sports Physician Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.