Eternal Health Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5858 Issued in OR

Legal business name

ETERNAL HEALTH CHIROPRACTIC

Practice address

2221 NE 3Rd St
Bend, OR 97701-3614

Phone

(541) 241-9810

NPI assigned

Oct 10, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Justin CookNPI 1205346798

Title

Owner

Phone

(541) 241-9810

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 2

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

• Justin Cook, DC

  • Chiropractor
  • Bend, OR
  • NPI 1205346798
  Medicare reassignment NPD Authorized official
• Chandler Robert Obermire, DC

  • Chiropractor
  • Bend, OR
  • NPI 1629821822
  Medicare reassignment NPD

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638230400000",
    "number": "1578073060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 NE 3RD ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013614",
            "telephone_number": "541-241-9810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2221 NE 3RD ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013614",
            "telephone_number": "541-241-9810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETERNAL HEALTH CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-241-9810",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Robert Estabrook
• Susan Jane Estep, MS MS NCC
• Michele N Estes, LMT
• Anthony A Estrada
• Brittany Estuesta, PT, DPT
• Bridget Evans, CRM
• Derrick Evans
• Gregory Evans, RPH
• Kristine Marie Evans, A.A.
• Evens Physical Therapy

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.