NPIMap

Organization Active NPI

Southern Oregon Chiropractic-Ashland LLC

  • Rehabilitation Chiropractor
  • Ashland, OR
National Provider Identifier
1902318884
Registry record updated Aug 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
Legal business name
SOUTHERN OREGON CHIROPRACTIC-ASHLAND LLC
Practice address
410 N Main St
Ashland, OR 97520-1750
Phone
(541) 245-4444
NPI assigned
Oct 31, 2017
Last updated
Aug 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2021

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

Authorized official

Name
Eric Steven ReedNPI 1588645626
Title
Owner
Phone
(541) 245-4444

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X OR Primary

Addresses

Primary practice location

410 N Main St
Ashland, OR 97520-1750

Mailing address

1004 E Jackson St
Medford, OR 97504-7027
Phone (541) 200-3103

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180201003136 OR Part B Supplier - Clinic/Group Practice 7517227978 Receives reassigned benefits from 4 practitioners
Practice locations: Ashland, OR

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1902318884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 E JACKSON ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975047027",
            "telephone_number": "541-200-3103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N MAIN ST",
            "city": "ASHLAND",
            "state": "OR",
            "postal_code": "975201750",
            "telephone_number": "541-245-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OREGON CHIROPRACTIC-ASHLAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "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": "541-245-4444"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.