Active NPI
Aspen Chiropractic P.C.
- Chiropractor
- Sutherlin, OR
National Provider Identifier
1902335763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- ASPEN CHIROPRACTIC P.C.
- Practice address
- 325 Park Hill LN
Sutherlin, OR 97479-9022 - Phone
- (541) 802-1040
- Fax
- (541) 802-1042
- NPI assigned
- Jun 6, 2017
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christopher Reneau, DC
- Title
- Chiropractor/Owner
- Phone
- (541) 802-1040
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary | ||
| Primary Care Clinic/Center | 261QP2300X | 5535 | OR |
Addresses
Primary practice location
325 Park Hill LN
Sutherlin, OR 97479-9022
Mailing address
325 Park Hill LN
Sutherlin, OR 97479-9022
Phone (541) 802-1040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500663209 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
2569 NW Edenbower Blvd
Roseburg, OR 97471
Phone (541) 672-4807
325 Park Hill Ln
Sutherlin, OR 97479
Phone (541) 802-1040
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Chiropractor
- Roseburg, OR
- NPI 1790259653
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1902335763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 PARK HILL LN",
"city": "SUTHERLIN",
"state": "OR",
"postal_code": "974799022",
"telephone_number": "541-802-1040",
"fax_number": "541-802-1042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 PARK HILL LN",
"city": "SUTHERLIN",
"state": "OR",
"postal_code": "974799022",
"telephone_number": "541-802-1040",
"fax_number": "541-802-1042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASPEN CHIROPRACTIC P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-06",
"last_updated": "2022-07-21",
"certification_date": "2021-03-05",
"status": "A",
"authorized_official_last_name": "RENEAU",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
"authorized_official_telephone_number": "541-802-1040",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "OR",
"license": "5535",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500663209",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sutherlin, OR
- Amanda Allen, QMHA-R, CADC-R
- Apollo Pharmacy Group, Inc. (Sutherlin Drug)
- Apollo Pharmacy Group, Inc. (Sutherlin Drug)
- Applegate Psychology & Assoc, LLC
- Assisted Living Concepts Inc (Douglas House)
- Benjamin James Baird, P.A.-C.
- Lucille Levinia Becker, DT, DO
- Jennifer Renee Binder
- Brandon Wallace Bishop, D.P.M.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.