Aspen Injury Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ASPEN INJURY CENTER LLC

Doing business as

Aspen Chiropractic Center

Practice address

1260 E Main St
Cottage Grove, OR 97424-2217

Phone

(541) 767-3788

Fax

(541) 946-1057

NPI assigned

Jan 14, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Richard Reneua, DC

Title

Owner

Phone

(541) 767-3788

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aspen Chiropractic Center Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Tax ID family

Aspen Injury Center LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Aspen Injury Center LLC

  • Chiropractor
  • Cottage Grove, OR
  • NPI 1700213493
  NPD tax ID
• Aspen Injury Center LLC

  • Chiropractor
  • Eugene, OR
  • NPI 1952268179
  NPD tax ID

Practitioners 4

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

• Kevin Burch, DC

  • Chiropractor
  • Coquille, OR
  • NPI 1063396927
  Medicare reassignment Care Compare group NPD
• Sophia Milanian

  • Chiropractor
  • Delray Beach, FL
  • NPI 1619547833

  OR

  Medicare reassignment Care Compare group NPD
• Jordan S Powell, DC

  • Chiropractor
  • Eugene, OR
  • NPI 1104324672
  Medicare reassignment Care Compare group
• Richard Reneau, D.C.

  • Chiropractor
  • Roseburg, OR
  • NPI 1477892628
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1547424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547424000000",
    "number": "1902370810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 E MAIN ST",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974242217",
            "telephone_number": "541-767-3788",
            "fax_number": "541-946-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 E MAIN ST",
            "city": "COTTAGE GROVE",
            "state": "OR",
            "postal_code": "974242217",
            "telephone_number": "541-767-3788",
            "fax_number": "541-946-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPEN INJURY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-14",
        "last_updated": "2019-01-14",
        "status": "A",
        "authorized_official_last_name": "RENEUA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-767-3788",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC",
            "identifier": "5112",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aspen Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Holly Arbuckle, L.AC
• Kathleen Marie Arp, CHW
• Brandy Ashwood, QMHP
• Aspen Chiropractic and Health Center P.C.
• Aspen Injury Center LLC
• Aspen Injury Center LLC
• Chelsey Rose Augustyniak
• Samantha Rae Ayala, DMD
• Jonathan E Backer, DDS
• Chelsea Badolian, LMT

• Chiropractor in Cottage Grove, OR
• Providers in Cottage Grove, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.