Vanderloo Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5567 Issued in OR

Legal business name

VANDERLOO CHIROPRACTIC LLC

Practice address

2230 W Burnside St Ste D
Portland, OR 97210-3727

Phone

(971) 255-1922

Fax

(971) 250-2884

NPI assigned

Feb 3, 2015

Organization subpart

No

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

Authorized official

Name

Lance Richard Vanderloo, D.C.

Title

Chiropractor / Owner

Phone

(971) 255-1922

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Flores Chiropractic Former legal business name

Practitioners 1

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

• Joseph Noe Flores, D.C.

  • Chiropractor
  • Tucson, AZ
  • NPI 1306006499
  NPD (past)

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1669862256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 W BURNSIDE ST STE D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103727",
            "telephone_number": "971-255-1922",
            "fax_number": "971-250-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 W BURNSIDE ST STE D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103727",
            "telephone_number": "971-255-1922",
            "fax_number": "971-250-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDERLOO CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "VANDERLOO",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CHIROPRACTOR / OWNER",
        "authorized_official_telephone_number": "971-255-1922",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "5567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G8913150",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flores Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Thomas Andrew Vanderjagt, MD, PH.D
• April L Vanderkamp, RN
• William Michael Vanderlind, PHD
• Thuy Vanderlinde, LCSW
• Trudy Marie Vanderlip
• Lance Richard Vanderloo, D.C.
• Larissa Ann Vandermeer
• William J.L. Vandermolen, M.D.
• Dalton Vanderpol, MD
• Sarah Kathryn Dora Vanderpool

• 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 3, 2015; 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.