NPIMap

Organization Active NPI

Thunderstruck Farms Inc.

Doing business as Sheridan Family Chiropractic Clinic

  • Chiropractor
  • Sheridan, OR
National Provider Identifier
1689047680
Registry record updated Apr 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
73-5654 Issued in OR
Legal business name
THUNDERSTRUCK FARMS INC.
Doing business as
Sheridan Family Chiropractic Clinic
Practice address
639 W Main St
Sheridan, OR 97378-1121
Phone
(503) 843-3888
Fax
(503) 843-4366
NPI assigned
Nov 12, 2015
Last updated
Apr 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2022

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

Authorized official

Name
Dr. Tina Hammond, D.C.NPI 1013390939
Title
Owner
Phone
(503) 843-3888

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 73-5654 OR Primary

Addresses

Primary practice location

639 W Main St
Sheridan, OR 97378-1121

Mailing address

639 W Main St
Sheridan, OR 97378-1121
Phone (503) 843-3888

Other names 1

  • Sheridan Family Chiropractic Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160218000460 OR Part B Supplier - Clinic/Group Practice 4082919725 Receives reassigned benefits from 1 practitioner
Practice locations: Sheridan, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649721600000",
    "number": "1689047680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 W MAIN ST",
            "city": "SHERIDAN",
            "state": "OR",
            "postal_code": "973781121",
            "telephone_number": "503-843-3888",
            "fax_number": "503-843-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 W MAIN ST",
            "city": "SHERIDAN",
            "state": "OR",
            "postal_code": "973781121",
            "telephone_number": "503-843-3888",
            "fax_number": "503-843-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUNDERSTRUCK FARMS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A",
        "authorized_official_last_name": "HAMMOND",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-843-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "73-5654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheridan Family Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sheridan Family Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sheridan, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; 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.