Organization Active NPI

Eugene Chiropractic Center LLC

  • Orthopedic Chiropractor
  • Eugene, OR
National Provider Identifier
1639417413
Registry record updated Jun 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic ChiropractorTaxonomy code 111NX0800X
License
1732 Issued in OR
Legal business name
EUGENE CHIROPRACTIC CENTER LLC
Practice address
2160 W 11TH Ave
Suite a
Eugene, OR 97402-3564
Phone
(541) 484-2004
Fax
(541) 484-0800
NPI assigned
Jan 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2013

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

Authorized official

Name
Dr. Douglas P Carlstrom, D.C.
Title
Doctor of Chiropractic / Owner
Phone
(541) 484-2004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NX0800X 1732 OR Primary

Addresses

Primary practice location

2160 W 11TH Ave
Suite a
Eugene, OR 97402-3564

Mailing address

2160 W 11TH Ave
Suite a
Eugene, OR 97402-3564
Phone (541) 484-2004

National Provider Directory

National Provider Directory

Locations

2160 W 11th Ave
Ste A
Eugene, OR 97402
Phone (541) 484-2004

NPI Registry JSON

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

{
    "created_epoch": "1359417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370563200000",
    "number": "1639417413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 W 11TH AVE",
            "address_2": "SUITE A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023564",
            "telephone_number": "541-484-2004",
            "fax_number": "541-484-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 W 11TH AVE",
            "address_2": "SUITE A",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974023564",
            "telephone_number": "541-484-2004",
            "fax_number": "541-484-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-29",
        "last_updated": "2013-06-07",
        "status": "A",
        "authorized_official_last_name": "CARLSTROM",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC / OWNER",
        "authorized_official_telephone_number": "541-484-2004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": "OR",
            "license": "1732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 7, 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.