Organization Active NPI

Body of Health, LLC

Doing business as Body of Health Chiropractic & Wellness Center

  • Health Service Clinic/Center
  • Corvallis, OR
National Provider Identifier
1720228802
Registry record updated Mar 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
BODY OF HEALTH, LLC
Doing business as
Body of Health Chiropractic & Wellness Center
Practice address
985 NW 23Rd St
Corvallis, OR 97330-4309
Phone
(541) 753-1287
Fax
(541) 752-1298
NPI assigned
Mar 2, 2009
Last updated
Mar 2, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2009

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

Authorized official

Name
Dr. Jason J Young, DCNPI 1740467679
Title
Owner
Phone
(541) 753-1287

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
Health Service Clinic/Center 261QH0100X NU Primary

Addresses

Primary practice location

985 NW 23Rd St
Corvallis, OR 97330-4309

Mailing address

985 NW 23Rd St
Corvallis, OR 97330-4309
Phone (541) 753-1287

Other names 1

  • Body of Health Chiropractic & Wellness Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090312000672 OR Part B Supplier - Clinic/Group Practice 3870659014 Receives reassigned benefits from 2 practitioners
Practice locations: Corvallis, OR

National Provider Directory

National Provider Directory

Locations

867 NW 23rd St
Corvallis, OR 97330
Phone (541) 753-1287

985 NW 23rd St
Corvallis, OR 97330
Phone (541) 753-1287

Practitioners & affiliated clinicians

Practitioners 4

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": "1235952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235952000000",
    "number": "1720228802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 NW 23RD ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304309",
            "telephone_number": "541-753-1287",
            "fax_number": "541-752-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 NW 23RD ST",
            "city": "CORVALLIS",
            "state": "OR",
            "postal_code": "973304309",
            "telephone_number": "541-753-1287",
            "fax_number": "541-752-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY OF HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-02",
        "last_updated": "2009-03-02",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-753-1287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body of Health Chiropractic & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Corvallis, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2009; 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.