Organization Active NPI

Aspen Chiropractic P.C.

  • Chiropractor
  • Roseburg, OR
National Provider Identifier
1790259653
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ASPEN CHIROPRACTIC P.C.
Practice address
2569 NW Edenbower Blvd
Roseburg, OR 97471-6220
Phone
(541) 672-4807
NPI assigned
Jan 14, 2019
Last updated
Mar 5, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
ASPEN CHIROPRACTIC P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Authorized official

Name
Dr. Christopher Reneau, DCNPI 1316369697
Title
Chiropractor/Owner
Phone
(541) 672-4807

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2569 NW Edenbower Blvd
Roseburg, OR 97471-6220

Mailing address

535 NE Stephens St
Roseburg, OR 97470-3150
Phone (541) 672-4807

National Provider Directory

National Provider Directory
Part of
Aspen Chiropractic PC

Locations

325 Park Hill Ln
Sutherlin, OR 97479
Phone (541) 802-1040

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1790259653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 NE STEPHENS ST",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703150",
            "telephone_number": "541-672-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2569 NW EDENBOWER BLVD",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974716220",
            "telephone_number": "541-672-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN CHIROPRACTIC P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ASPEN CHIROPRACTIC P.C.",
        "enumeration_date": "2019-01-14",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "RENEAU",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "541-672-4807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.