Organization Active NPI

Advanced Disc and Spine Health, LLC

  • Chiropractor
  • Bend, OR
National Provider Identifier
1780880336
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3675 Issued in OR
Legal business name
ADVANCED DISC AND SPINE HEALTH, LLC
Practice address
1470 SW Knoll Ave
Suite 103
Bend, OR 97702-3186
Phone
(541) 318-1632
Fax
(541) 312-3198
NPI assigned
Jun 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Andrew Jeffrey, D.C.NPI 1497812747
Title
Doctor of Chiropractic
Phone
(541) 318-1632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3675 OR Primary

Addresses

Primary practice location

1470 SW Knoll Ave
Suite 103
Bend, OR 97702-3186

Mailing address

1470 SW Knoll Ave
Suite 103
Bend, OR 97702-3186
Phone (541) 318-1632

National Provider Directory

National Provider Directory

Locations

1470 SW Knoll Ave
Ste 103
Bend, OR 97702
Phone (541) 318-1632

1558 SW Nancy Way
Ste 106
Bend, OR 97702

Practitioners & affiliated clinicians

Practitioners 1

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": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780880336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 SW KNOLL AVE",
            "address_2": "SUITE 103",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023186",
            "telephone_number": "541-318-1632",
            "fax_number": "541-312-3198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 SW KNOLL AVE",
            "address_2": "SUITE 103",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023186",
            "telephone_number": "541-318-1632",
            "fax_number": "541-312-3198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED DISC AND SPINE HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JEFFREY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "541-318-1632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.