NPIMap

Organization Active NPI

Springwater Chiropractic Inc

  • Chiropractor
  • Fairview, OR
National Provider Identifier
1790950228
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPRINGWATER CHIROPRACTIC INC
Practice address
1659 NE Market Drive
Fairview, OR 97024-3867
Phone
(503) 465-9100
Fax
(503) 665-2290
NPI assigned
Apr 25, 2008
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Dr. Steven John Prom, DCNPI 1578548566
Title
President Owner
Phone
(503) 465-9100

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 NU Primary

Addresses

Primary practice location

1659 NE Market Drive
Fairview, OR 97024-3867

Mailing address

1659 NE Market Drive
Fairview, OR 97024-3867
Phone (503) 465-9100

National Provider Directory

National Provider Directory

Locations

1659 NE Market Dr
Fairview, OR 97024
Phone (503) 465-9100

Practitioners & affiliated clinicians

Practitioners 7

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": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1790950228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1659 NE MARKET DRIVE",
            "city": "FAIRVIEW",
            "state": "OR",
            "postal_code": "970243867",
            "telephone_number": "503-465-9100",
            "fax_number": "503-665-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1659 NE MARKET DRIVE",
            "city": "FAIRVIEW",
            "state": "OR",
            "postal_code": "970243867",
            "telephone_number": "503-465-9100",
            "fax_number": "503-665-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGWATER CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "PROM",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "503-465-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.