NPIMap

Organization Active NPI

Chiropractic Life Center - West

  • Chiropractor
  • Beaverton, OR
National Provider Identifier
1699021550
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3328 Issued in OR
Legal business name
CHIROPRACTIC LIFE CENTER - WEST
Practice address
4085 SW 109TH Ave
Ste 200
Beaverton, OR 97005-3000
Phone
(503) 644-4846
Fax
(503) 644-1293
NPI assigned
Jul 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
Dr. Joseph Stephen Dombek, D.C.NPI 1083665756
Title
Owner
Phone
(503) 644-4846

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 3328 OR Primary

Addresses

Primary practice location

4085 SW 109TH Ave
Ste 200
Beaverton, OR 97005-3000

Mailing address

4085 SW 109TH Ave
Ste 200
Beaverton, OR 97005-3000
Phone (503) 644-4846

Other names 1

  • ProAdjuster Chiropractic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1343606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1699021550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 SW 109TH AVE",
            "address_2": "STE 200",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053000",
            "telephone_number": "503-644-4846",
            "fax_number": "503-644-1293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 SW 109TH AVE",
            "address_2": "STE 200",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970053000",
            "telephone_number": "503-644-4846",
            "fax_number": "503-644-1293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC LIFE CENTER - WEST",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-30",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "DOMBEK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-644-4846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProAdjuster Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.