NPIMap

Organization Active NPI

Southern Oregon Chiropractic, LLC

  • Chiropractor
  • Medford, OR
National Provider Identifier
1891829370
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
273544 Issued in OR
Legal business name
SOUTHERN OREGON CHIROPRACTIC, LLC
Practice address
2931 Doctors Park Dr
Medford, OR 97504-8127
Phone
(541) 245-4444
Fax
(541) 200-2269
NPI assigned
Mar 15, 2007
Organization subpart
Yes
Parent organization
SOUTHERN OREGON CHIROPRACTICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Dr. Eric Steven Reed, D.C,NPI 1588645626
Title
Owner
Phone
(541) 414-0362

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 273544 OR Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X

Addresses

Primary practice location

2931 Doctors Park Dr
Medford, OR 97504-8127

Mailing address

1744 E McAndrew Rd
Suite D.
Medford, OR 97504
Phone (541) 245-4444

Other practice location 1

1004 E Jackson St
Medford, OR 97504
Phone (541) 200-2267

Other identifiers 1

IdentifierTypeStateIssuer
023096MedicaidOR

Other names 1

  • Southern Oregon Acupuncture Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050517001060 OR Part B Supplier - Clinic/Group Practice 0345281671 Receives reassigned benefits from 11 practitioners
Practice locations: Medford, OR; Shady Cove, OR

National Provider Directory

National Provider Directory
Part of
Southern Oregon Chiropractic LLC

Locations

691 Murphy Rd
Ste 128
Medford, OR 97504
Phone (541) 245-4444

1004 E Jackson St
Medford, OR 97504
Phone (541) 200-3103

21885 Highway 62
Shady Cove, OR 97539
Phone (541) 878-3603

Practitioners & affiliated clinicians

Practitioners 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1891829370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 E MCANDREW RD",
            "address_2": "SUITE D.",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97504",
            "telephone_number": "541-245-4444",
            "fax_number": "541-245-4443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 DOCTORS PARK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048127",
            "telephone_number": "541-245-4444",
            "fax_number": "541-200-2269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 E Jackson St",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "97504",
            "country_code": "US",
            "telephone_number": "541-200-2267",
            "fax_number": "541-245-4443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHERN OREGON CHIROPRACTIC, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN OREGON CHIROPRACTIC",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-414-0362",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C,"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273544",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023096",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Oregon Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Oregon Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southern Oregon Acupuncture",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.