Chiro One Wellness Center of Tualatin LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

CHIRO ONE WELLNESS CENTER OF TUALATIN LLC

Practice address

7025 SW Nyberg St
Tualatin, OR 97062-6242

Phone

(503) 558-4422

NPI assigned

Oct 6, 2022

Organization subpart

No

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

Authorized official

Name

Stuart BernsenNPI 1386691566

Title

Ceo

Phone

(847) 912-2411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Simon Bruckner, DC

  • Chiropractor
  • Clackamas, OR
  • NPI 1801582952
  Medicare reassignment NPD
• Robert Andrew Jeffrey, DC

  • Chiropractor
  • Bend, OR
  • NPI 1497812747
  Medicare reassignment NPD
• Jethro Houston McFarland, DC

  • Chiropractor
  • Tualatin, OR
  • NPI 1134927916
  Medicare reassignment NPD
• Beth Ann Will, D.C.

  • Chiropractor
  • Keizer, OR
  • NPI 1568513430
  Medicare reassignment NPD
• Rachana Shah, DC

  • Chiropractor
  • Des Plaines, IL
  • NPI 1740829449

  OR

  Medicare reassignment NPD
• Mareechi Duvvuri, DC

  • Chiropractor
  • Tualatin, OR
  • NPI 1902627458
  Medicare reassignment
• Stuart Bernsen, D.C.

  • Chiropractor
  • Evanston, IL
  • NPI 1386691566
  NPD (past) Authorized official

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1740905314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 BUTTERFIELD RD STE 301N",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231266",
            "telephone_number": "630-229-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7025 SW NYBERG ST",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970626242",
            "telephone_number": "503-558-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRO ONE WELLNESS CENTER OF TUALATIN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "BERNSEN",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-912-2411"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Ann Cherachanko, D.C.
• Emilee Marie Chesterfield, PA-C
• Ryan Edwin Childers, M.D.
• Childrens Clinic PC
• Alexander C Ching, MD
• Casey Chow, MA
• Jessie Elsa Christensen, RN
• Marla Christensen, LPC
• Anita R Cintron Rivera, PA
• Clackamas County School District 3JT

• Chiropractor in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.