Organization Active NPI

Canusa Health Chiropractic PC

  • Chiropractor
  • Eugene, OR
National Provider Identifier
1700320645
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CANUSA HEALTH CHIROPRACTIC PC
Practice address
115 W 8TH Ave
200
Eugene, OR 97401-2961
Phone
(541) 343-4343
Fax
(541) 636-0299
NPI assigned
Dec 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Authorized official

Name
Tabitha Chambers
Title
Office Manager
Phone
(541) 343-4343

Specialties & licenses 1

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

Addresses

Primary practice location

115 W 8TH Ave
200
Eugene, OR 97401-2961

Mailing address

115 W 8TH Ave
200
Eugene, OR 97401-2961
Phone (541) 343-4343

Other identifiers 1

IdentifierTypeStateIssuer
500646957MedicaidOR

Other names 1

  • Cascade Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161221000218 OR Part B Supplier - Clinic/Group Practice 6800177304 Receives reassigned benefits from 1 practitioner
Practice locations: Eugene, OR

National Provider Directory

National Provider Directory
Tax ID family
Canusa Health Chiropractic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

115 W 8th Ave
Ste 200
Eugene, OR 97401
Phone (541) 343-4343

Practitioners & affiliated clinicians

Practitioners 7

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": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1700320645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W 8TH AVE",
            "address_2": "200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012961",
            "telephone_number": "541-343-4343",
            "fax_number": "541-636-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W 8TH AVE",
            "address_2": "200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012961",
            "telephone_number": "541-343-4343",
            "fax_number": "541-636-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANUSA HEALTH CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-343-4343"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500646957",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eugene, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.