Yaquina Chiropractic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

YAQUINA CHIROPRACTIC LLC

Practice address

111 SE Douglas St
Suite F-1
Newport, OR 97365

Phone

(541) 264-8138

Fax

(541) 264-8238

NPI assigned

Dec 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Stanley Bishop, D.C.

Title

Owner

Phone

(541) 264-8138

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Yaquina Chiropractic Other name

Locations

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

{
    "created_epoch": "1228176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255305600000",
    "number": "1730324906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SE DOUGLAS ST",
            "address_2": "SUITE F-1",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "97365",
            "telephone_number": "541-264-8138",
            "fax_number": "541-264-8238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SE DOUGLAS ST",
            "address_2": "SUITE F-1",
            "city": "NEWPORT",
            "state": "OR",
            "postal_code": "97365",
            "telephone_number": "541-264-8138",
            "fax_number": "541-264-8238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YAQUINA CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-02",
        "last_updated": "2009-10-12",
        "status": "A",
        "authorized_official_last_name": "BISHOP",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-264-8138",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R146211",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Yaquina Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ilene Pearl Wright, QMHA
• Tiffeny Ann Wright, B.S. PSYCHOLOGY
• Michelle Maria Wuerth, LCSW
• Diana Xalteno Vasquez, QMHA
• B. Edward Yanke, DO
• Amy Catherine Yates, QMHP
• Elizabeth Ann Young, R.N.
• Your Friendly Dietitian, LLC
• Julissa Enid Zambrana, RMA
• Nora Khojesta Zander

• Clinic/Center in Newport, OR
• Providers in Newport, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2009; 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.