Organization Active NPI

Springwater Chiropractic Center LLC

  • Chiropractor
  • Fairview, OR
National Provider Identifier
1659929545
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPRINGWATER CHIROPRACTIC CENTER LLC
Practice address
1659 NE Market Dr
Fairview, OR 97024-3867
Phone
(503) 465-9100
NPI assigned
Sep 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Authorized official

Name
Daniel Landon Hubbell, DCNPI 1003325531
Title
President
Phone
(503) 516-7932

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 Primary

Addresses

Primary practice location

1659 NE Market Dr
Fairview, OR 97024-3867

Mailing address

1659 NE Market Dr
Fairview, OR 97024-3867
Phone (503) 465-9100

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.springwaterchiropractic.com Direct

National Provider Directory

National Provider Directory

Locations

1659 NE Market Dr
Fairview, OR 97024
Phone (503) 465-9100

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567468800000",
    "number": "1659929545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 NE MARKET DR",
            "city": "FAIRVIEW",
            "state": "OR",
            "postal_code": "970243867",
            "telephone_number": "503-465-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 NE MARKET DR",
            "city": "FAIRVIEW",
            "state": "OR",
            "postal_code": "970243867",
            "telephone_number": "503-465-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGWATER CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A",
        "authorized_official_last_name": "HUBBELL",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "LANDON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-516-7932",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.springwaterchiropractic.com",
            "affiliation": "N",
            "endpointDescription": "website of the clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "None",
            "address_1": "1659 NE Market Dr",
            "city": "Fairview",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970243867",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fairview, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.