NPIMap

Organization Active NPI

Greenway Chiropractic Clinic

  • Chiropractor
  • Beaverton, OR
National Provider Identifier
1730442930
Registry record updated Jun 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1508 Issued in OR
Legal business name
GREENWAY CHIROPRACTIC CLINIC
Practice address
8070 SW Hall Blvd
Suite 100
Beaverton, OR 97008-6419
Phone
(503) 643-0156
Fax
(971) 732-5624
NPI assigned
Jun 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2012

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

Authorized official

Name
Robert W Breitenstein, DCNPI 1073526620
Title
Owner
Phone
(503) 643-0156

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 1508 OR Primary

Addresses

Primary practice location

8070 SW Hall Blvd
Suite 100
Beaverton, OR 97008-6419

Mailing address

8070 SW Hall Blvd
Suite 100
Beaverton, OR 97008-6419
Phone (503) 643-0156

Other identifiers 1

IdentifierTypeStateIssuer
R0000QGBXKOtherORMEDICARE PTAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1730442930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8070 SW HALL BLVD",
            "address_2": "SUITE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086419",
            "telephone_number": "503-643-0156",
            "fax_number": "971-732-5624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8070 SW HALL BLVD",
            "address_2": "SUITE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970086419",
            "telephone_number": "503-643-0156",
            "fax_number": "971-732-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWAY CHIROPRACTIC CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "BREITENSTEIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-643-0156",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "R0000QGBXK",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.