Active NPI
David Boorstein, D.C.
- Chiropractor
- Bend, OR
National Provider Identifier
1841375797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 273340
- Practice address
- 519 NW Colorado Ave
Bend, OR 97703 - Phone
- (541) 389-3894
- NPI assigned
- Oct 26, 2006
- Last updated
- Nov 6, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 273340 | OR | Primary |
Addresses
Primary practice location
519 NW Colorado Ave
Bend, OR 97703
Mailing address
519 NW Colorado Ave
Bend, OR 97703
Phone (541) 389-3894
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3340 | OR | MD | Clinical Neuropsychologist |
| 273340 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cafe of Life Chiropractic PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Bend, OR
- NPI 1194911743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1841375797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "519 NW COLORADO AVE",
"city": "BEND",
"state": "OR",
"postal_code": "97703",
"telephone_number": "541-389-3894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 NW COLORADO AVE",
"city": "BEND",
"state": "OR",
"postal_code": "97703",
"telephone_number": "541-389-3894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOORSTEIN",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "273340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.