Organization Active NPI

Aspen Injury Center LLC

Doing business as Aspen Chiropractic Center

  • Chiropractor
  • Cottage Grove, OR
National Provider Identifier
1700213493
Registry record updated Feb 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3985 Issued in OR
Legal business name
ASPEN INJURY CENTER LLC
Doing business as
Aspen Chiropractic Center
Practice address
1260 East Main Street
Cottage Grove, OR 97424
Phone
(541) 767-3788
Fax
(541) 946-1057
NPI assigned
Sep 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2019

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

Authorized official

Name
Mr. Joshua Anderson, DC
Title
Owner
Phone
(541) 767-3788

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3985 OR Primary

Addresses

Primary practice location

1260 East Main Street
Cottage Grove, OR 97424

Mailing address

1260 East Main Street
Cottage Grove, OR 97424
Phone (541) 767-3788

Other names 1

  • Aspen Chiropractic Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aspen Injury Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1260 E Main St
Cottage Grove, OR 97424
Phone (541) 767-3788

1240 E Main St
Cottage Grove, OR 97424
Phone (541) 767-3788

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549843200000",
    "number": "1700213493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 EAST MAIN STREET",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "97424",
            "telephone_number": "541-767-3788",
            "fax_number": "541-946-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 EAST MAIN STREET",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "97424",
            "telephone_number": "541-767-3788",
            "fax_number": "541-946-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN INJURY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2019-02-11",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-767-3788",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cottage Grove, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.