Organization Active NPI

Inspire Life Chiropractic LLC

  • Chiropractor
  • Clackamas, OR
National Provider Identifier
1720683618
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
INSPIRE LIFE CHIROPRACTIC LLC
Practice address
13035 SE 84TH Ave
Clackamas, OR 97015-9798
Phone
(971) 351-0808
NPI assigned
Dec 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Dr. McCartney Goff, DCNPI 1548865421
Title
Owner
Phone
(971) 351-0808

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 Primary

Addresses

Primary practice location

13035 SE 84TH Ave
Clackamas, OR 97015-9798

Mailing address

13035 SE 84TH Ave
Clackamas, OR 97015-9798
Phone (971) 351-0808

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210120000517 OR Part B Supplier - Clinic/Group Practice 4385057066 Receives reassigned benefits from 1 practitioner
Practice locations: Clackamas, OR

National Provider Directory

National Provider Directory

Locations

13035 SE 84th Ave
Clackamas, OR 97015
Phone (971) 351-0808

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": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1720683618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13035 SE 84TH AVE",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159798",
            "telephone_number": "971-351-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13035 SE 84TH AVE",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159798",
            "telephone_number": "971-351-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRE LIFE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "GOFF",
        "authorized_official_first_name": "MCCARTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "971-351-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.