NPIMap

Organization Active NPI

Sunshine Chiropractic Center, PC.

  • Chiropractor
  • Bandon, OR
National Provider Identifier
1801088398
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
273028 Issued in OR
Legal business name
SUNSHINE CHIROPRACTIC CENTER, PC.
Practice address
780 2ND St SE Ste 6
Bandon, OR 97411-8354
Phone
(541) 347-5169
NPI assigned
Aug 17, 2007
Last updated
Jan 18, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2018

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

Authorized official

Name
Dr. Venus Crystal Smith, D.C.NPI 1699770487
Title
President
Phone
(541) 347-5169

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 273028 OR Primary

Addresses

Primary practice location

780 2ND St SE Ste 6
Bandon, OR 97411-8354

Mailing address

PO Box 1894
Bandon, OR 97411-1894
Phone (541) 347-5169

National Provider Directory

National Provider Directory

Locations

780 2nd St SE
Ste 6
Bandon, OR 97411
Phone (541) 347-5169

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": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1801088398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1894",
            "city": "BANDON",
            "state": "OR",
            "postal_code": "974111894",
            "telephone_number": "541-347-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 2ND ST SE STE 6",
            "city": "BANDON",
            "state": "OR",
            "postal_code": "974118354",
            "telephone_number": "541-347-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSHINE CHIROPRACTIC CENTER, PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VENUS",
        "authorized_official_middle_name": "CRYSTAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-347-5169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bandon, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.