Organization Active NPI

Albany Chiropractic Clinic

  • Chiropractor
  • Albany, OR
National Provider Identifier
1609207679
Registry record updated Dec 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
27-3312 Issued in OR
Legal business name
ALBANY CHIROPRACTIC CLINIC
Practice address
530 Ellsworth St SW
Albany, OR 97321-2363
Phone
(541) 926-6911
Fax
(541) 926-8573
NPI assigned
Dec 2, 2013
Last updated
Dec 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2013

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

Authorized official

Name
Dr. Philip Buchovecky, DCNPI 1467459875
Title
Doctor of Chiropractic
Phone
(541) 926-6911

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 27-3312 OR Primary

Addresses

Primary practice location

530 Ellsworth St SW
Albany, OR 97321-2363

Mailing address

530 Ellsworth St SW
Albany, OR 97321-2363
Phone (541) 926-6911

National Provider Directory

National Provider Directory

Locations

530 Ellsworth St SW
Albany, OR 97321
Phone (503) 926-6911

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1609207679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 ELLSWORTH ST SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212363",
            "telephone_number": "541-926-6911",
            "fax_number": "541-926-8573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 ELLSWORTH ST SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212363",
            "telephone_number": "541-926-6911",
            "fax_number": "541-926-8573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "BUCHOVECKY",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "541-926-6911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "27-3312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.