Organization Active NPI

Fortier Chiropractic Health Care, PC

  • Chiropractor
  • Albany, OR
National Provider Identifier
1801041330
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3795 Issued in OR
Legal business name
FORTIER CHIROPRACTIC HEALTH CARE, PC
Practice address
220 Ellsworth St SW
Albany, OR 97321-2211
Phone
(541) 926-0510
Fax
(541) 926-5540
NPI assigned
Nov 25, 2008
Last updated
Jan 7, 2009By the provider in NPPES
Organization subpart
Yes
Parent organization
FORTIER CHIROPRACTIC HEALTH CARE, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Authorized official

Name
Dr. Seth Andrew Fortier, D.C.NPI 1033394036
Title
Owner
Phone
(541) 926-0510

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 3795 OR Primary

Addresses

Primary practice location

220 Ellsworth St SW
Albany, OR 97321-2211

Mailing address

220 Ellsworth St SW
Albany, OR 97321-2211
Phone (541) 926-0510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090112000659 OR Part B Supplier - Clinic/Group Practice 2365505799 Receives reassigned benefits from 2 practitioners
Practice locations: Albany, OR

National Provider Directory

National Provider Directory
Part of
Fortier Chiropractic Health

Locations

220 Ellsworth St SW
Albany, OR 97321
Phone (541) 926-0510

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": "1227571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1801041330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 ELLSWORTH ST SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212211",
            "telephone_number": "541-926-0510",
            "fax_number": "541-926-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 ELLSWORTH ST SW",
            "city": "ALBANY",
            "state": "OR",
            "postal_code": "973212211",
            "telephone_number": "541-926-0510",
            "fax_number": "541-926-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTIER CHIROPRACTIC HEALTH CARE, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FORTIER CHIROPRACTIC HEALTH CARE, PC",
        "enumeration_date": "2008-11-25",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "FORTIER",
        "authorized_official_first_name": "SETH",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-926-0510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.