Optimal Performance Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

OPTIMAL PERFORMANCE CHIROPRACTIC LLC

Practice address

1725 SW Chandler Ave Ste 102
Bend, OR 97702-3249

Phone

(541) 852-5482

NPI assigned

Nov 18, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Chandler Robert Obermire, DCNPI 1629821822

Title

Chiropractic Physician/Owner

Phone

(541) 852-5482

Specialties & licenses 1

Addresses

Other names 1

• Power Performance Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

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

• Chandler Robert Obermire, DC

  • Chiropractor
  • Bend, OR
  • NPI 1629821822
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1679398341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61539 SE JENNIFER LN UNIT 2",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023892",
            "telephone_number": "541-852-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 SW CHANDLER AVE STE 102",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023249",
            "telephone_number": "541-852-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL PERFORMANCE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "OBERMIRE",
        "authorized_official_first_name": "CHANDLER",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "CHIROPRACTIC PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "541-852-5482",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Power Performance Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Power Performance Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Bend, OR
• Providers in Bend, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.