NPIMap

Organization Active NPI

Talent Chiropractic LLC

  • Chiropractor
  • Talent, OR
National Provider Identifier
1861661613
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
TALENT CHIROPRACTIC LLC
Practice address
115 N Pacific Hwy
Talent, OR 97540-9637
Phone
(541) 535-3062
Fax
(541) 535-6449
NPI assigned
Feb 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Dr. Joel Goldman Marc Goldman, D.C.
Title
Owner
Phone
(541) 535-3062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

115 N Pacific Hwy
Talent, OR 97540-9637

Mailing address

PO Box 432
Talent, OR 97540-0432
Phone (541) 535-3062

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060223000709 OR Part B Supplier - Clinic/Group Practice 7315953635 Receives reassigned benefits from 1 practitioner
Practice locations: Talent, OR

National Provider Directory

National Provider Directory

Locations

115 N Pacific Hwy
Talent, OR 97540
Phone (541) 535-3062

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1861661613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 432",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975400432",
            "telephone_number": "541-535-3062",
            "fax_number": "541-535-6449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N PACIFIC HWY",
            "city": "TALENT",
            "state": "OR",
            "postal_code": "975409637",
            "telephone_number": "541-535-3062",
            "fax_number": "541-535-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALENT CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "JOEL GOLDMAN",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-535-3062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Talent, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.