NPIMap

Organization Active NPI

Common Ground Chiropractic

  • Chiropractor
  • Portland, OR
National Provider Identifier
1770802142
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1631 Issued in OR
Legal business name
COMMON GROUND CHIROPRACTIC
Practice address
2927 NE Everett St
Portland, OR 97232-3248
Phone
(503) 232-4099
Fax
(503) 234-0370
NPI assigned
May 25, 2010
Last updated
May 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Dr. Elliott J. Mantell, DCNPI 1295950905
Title
Owner
Phone
(503) 232-4099

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 1631 OR Primary

Addresses

Primary practice location

2927 NE Everett St
Portland, OR 97232-3248

Mailing address

2927 NE Everett St
Portland, OR 97232-3248
Phone (503) 232-4099

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1274745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1770802142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2927 NE EVERETT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323248",
            "telephone_number": "503-232-4099",
            "fax_number": "503-234-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2927 NE EVERETT ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972323248",
            "telephone_number": "503-232-4099",
            "fax_number": "503-234-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMON GROUND CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-25",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "MANTELL",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-232-4099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; 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.