Ponderosa Family Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3756 Issued in OR

Legal business name

PONDEROSA FAMILY CHIROPRACTIC

Practice address

1011 Desperado Trail
Ste 202
Sisters, OR 97759

Phone

(541) 588-6200

Fax

(541) 588-6201

NPI assigned

Oct 5, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Anthony L Green, D.C.NPI 1932395399

Title

Chiropractor, Owner

Phone

(541) 588-6200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Laurence Green, D.C.

  • Chiropractor
  • Sisters, OR
  • NPI 1932395399
  NPD (past) Authorized official

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254700800000",
    "number": "1811222193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 747",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "97759",
            "telephone_number": "541-588-6200",
            "fax_number": "541-588-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 DESPERADO TRAIL",
            "address_2": "STE 202",
            "city": "SISTERS",
            "state": "OR",
            "postal_code": "97759",
            "telephone_number": "541-588-6200",
            "fax_number": "541-588-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PONDEROSA FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2009-10-05",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIROPRACTOR, OWNER",
        "authorized_official_telephone_number": "541-588-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Peters, MS, BS, LMT
• Hope Alexandra Peterson
• Physical Therapy for Kids, LLC
• Monika Edith Piatt, L.M.T.
• Pill Box Drugs Inc (Sisters Drug and Gifts)
• Praxis Health, PC (High Lakes Health Care Sisters)
• Praxis Health, PC (Desert Orthopedics)
• Theodore Prier, MD
• Lindsey M Pruyn, PA
• Angela Kay Pyke, LPC

• Chiropractor in Sisters, OR
• Providers in Sisters, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2009; 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.