Chiro One Wellness Center of Raleigh Hills LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIRO ONE WELLNESS CENTER OF RALEIGH HILLS LLC

Practice address

8225 SW Apple Way Ste 100
Portland, OR 97225-1783

Phone

(503) 245-8445

NPI assigned

Feb 7, 2023

Organization subpart

No

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

Authorized official

Name

Stuart BernsenNPI 1386691566

Title

Ceo

Phone

(847) 912-2411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 4

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.

• Alexandra Grumblatt, DC

  • Chiropractor
  • Portland, OR
  • NPI 1215784939
  Medicare reassignment NPD
• Joshua Krivoshein, DC

  • Chiropractor
  • Portland, OR
  • NPI 1720855406
  Medicare reassignment NPD
• Kelly E Bunn, DC LMT

  • Chiropractor
  • St Charles, IL
  • NPI 1942825245

  OR

  Medicare reassignment NPD
• Stuart Bernsen, D.C.

  • Chiropractor
  • Evanston, IL
  • NPI 1386691566
  NPD (past) Authorized official

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1588360895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD STE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231266",
            "telephone_number": "630-468-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8225 SW APPLE WAY STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972251783",
            "telephone_number": "503-245-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO ONE WELLNESS CENTER OF RALEIGH HILLS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "BERNSEN",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-912-2411"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marcus Alyn Chiodo, M.D.
• Clark D Chipman, MD
• Chirgwin & Herriges, LLC
• John R Chirgwin, DMD
• Kathleen Michele Chirgwin, CRM
• Chirocare Chiropractic Clinic, PC
• Marcella Kudzai Chiromo
• Chiropractic Art & Science LLC
• Chiropractic Auto Injury Clinic
• Chiropractic Center of Raleigh Hills PC (Signature Health)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.