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Organization Active NPI

Gervais Chiropractic, LLC

Doing business as Active Chiropractic

  • Clinic/Center
  • Eugene, OR
National Provider Identifier
1598057309
Registry record updated May 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
3834 Issued in OR
Legal business name
GERVAIS CHIROPRACTIC, LLC
Doing business as
Active Chiropractic
Practice address
1029 River Rd
Eugene, OR 97404-3242
Phone
(541) 543-5032
NPI assigned
May 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2011

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

Authorized official

Name
Dr. Brian D Gervais, D.C.
Title
Chiropractic Physician
Phone
(541) 543-5032

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 3834 OR Primary

Addresses

Primary practice location

1029 River Rd
Eugene, OR 97404-3242

Mailing address

1029 River Rd
Eugene, OR 97404-3242
Phone (541) 543-5032

Other names 1

  • Active Chiropractic Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305072000000",
    "number": "1598057309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043242",
            "telephone_number": "541-543-5032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 RIVER RD",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974043242",
            "telephone_number": "541-543-5032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERVAIS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-11",
        "status": "A",
        "authorized_official_last_name": "GERVAIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN",
        "authorized_official_telephone_number": "541-543-5032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "3834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.