Organization Active NPI

Walnut Group Management

  • Chiropractor
  • La Grande, OR
National Provider Identifier
1891983441
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
651161 Issued in OR
Legal business name
WALNUT GROUP MANAGEMENT
Practice address
1502 North Pine St
La Grande, OR 97850
Phone
(541) 963-7432
Fax
(541) 963-0597
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Dr. Duane Alsen Reuer, DC
Title
DC
Phone
(541) 963-7432

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 651161 OR Primary

Addresses

Primary practice location

1502 North Pine St
La Grande, OR 97850

Mailing address

1502 North Pine St
La Grande, OR 97850
Phone (541) 963-7432

Other identifiers 3

IdentifierTypeStateIssuer
173668502619OtherORWORKER'S COMP
196972MedicaidOR
196671OtherWAWORKER'S COMP

National Provider Directory

National Provider Directory

Locations

1502 N Pine St
La Grande, OR 97850
Phone (541) 963-3788

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1891983441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 NORTH PINE ST",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "97850",
            "telephone_number": "541-963-7432",
            "fax_number": "541-963-0597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 NORTH PINE ST",
            "city": "LA GRANDE",
            "state": "OR",
            "postal_code": "97850",
            "telephone_number": "541-963-7432",
            "fax_number": "541-963-0597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT GROUP MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "REUER",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "ALSEN",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "541-963-7432",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "651161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMP",
            "identifier": "173668502619",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196972",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMP",
            "identifier": "196671",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Grande, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.