NPIMap

Organization Active NPI

Active Health Chiropractic, PC

  • Chiropractor
  • Central Point, OR
National Provider Identifier
1780989889
Registry record updated Jan 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3555 Issued in OR
Legal business name
ACTIVE HEALTH CHIROPRACTIC, PC
Practice address
1217 Plaza Blvd Ste E
Central Point, OR 97502-2682
Phone
(541) 664-5566
NPI assigned
Jan 20, 2011
Last updated
Jan 20, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2011

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

Authorized official

Name
Dr. Jared Lee Dance, D.C.
Title
Owner
Phone
(541) 664-5566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3555 OR Primary

Addresses

Primary practice location

1217 Plaza Blvd Ste E
Central Point, OR 97502-2682

Mailing address

1217 Plaza Blvd Ste E
Central Point, OR 97502-2682
Phone (541) 664-5566

National Provider Directory

National Provider Directory

Locations

1217 Plaza Blvd
Ste E
Central Point, OR 97502
Phone (541) 664-2800

1093 Royal Ct
Medford, OR 97504
Phone (541) 622-8500

Practitioners & affiliated clinicians

Practitioners 82

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.

View all 82

NPI Registry JSON

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

{
    "created_epoch": "1295481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295481600000",
    "number": "1780989889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 PLAZA BLVD STE E",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022682",
            "telephone_number": "541-664-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 PLAZA BLVD STE E",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022682",
            "telephone_number": "541-664-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HEALTH CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-20",
        "last_updated": "2011-01-20",
        "status": "A",
        "authorized_official_last_name": "DANCE",
        "authorized_official_first_name": "JARED",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-664-5566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Point, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2011; 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.