Organization Active NPI

North Plains Chiropractic Clinic Inc

  • Sports Physician Chiropractor
  • North Plains, OR
National Provider Identifier
1902936958
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
3450 Issued in OR
Legal business name
NORTH PLAINS CHIROPRACTIC CLINIC INC
Practice address
10355 NW Glencoe Rd
Suite B
North Plains, OR 97133-8244
Phone
(503) 647-9944
Fax
(503) 447-5011
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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

Authorized official

Name
Dr. Shane E Espinoza, DC, CCSP
Title
President
Phone
(503) 647-9944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NS0005X 3450 OR Primary

Addresses

Primary practice location

10355 NW Glencoe Rd
Suite B
North Plains, OR 97133-8244

Mailing address

10355 NW Glencoe Rd
Suite B
North Plains, OR 97133-8244
Phone (503) 647-9944

National Provider Directory

National Provider Directory

Locations

10355 NW Glencoe Rd
Ste B
North Plains, OR 97133
Phone (503) 647-9944

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364860800000",
    "number": "1902936958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10355 NW GLENCOE RD",
            "address_2": "SUITE B",
            "city": "NORTH PLAINS",
            "state": "OR",
            "postal_code": "971338244",
            "telephone_number": "503-647-9944",
            "fax_number": "503-447-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10355 NW GLENCOE RD",
            "address_2": "SUITE B",
            "city": "NORTH PLAINS",
            "state": "OR",
            "postal_code": "971338244",
            "telephone_number": "503-647-9944",
            "fax_number": "503-447-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PLAINS CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2013-04-02",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-647-9944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, CCSP"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "OR",
            "license": "3450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Plains, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.