Daniel Joseph Bourque

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3196 Issued in OR

Legal business name

DANIEL JOSEPH BOURQUE

Doing business as

Daniels Chiropractic Clinic

Practice address

2207 NW Awbrey Rd
Bend, OR 97701-1218

Phone

(541) 389-1191

Fax

(541) 389-1972

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Joseph Bourque, D.C,NPI 1558438630

Title

Owner

Phone

(541) 389-1191

Specialties & licenses 1

Addresses

Other names 1

• Daniels Chiropractic Clinic Doing business as

Practitioners 1

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

• Daniel Joseph Bourque, D.C.

  • Chiropractor
  • Bend, OR
  • NPI 1558438630
  NPD (past) Authorized official

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1922152792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2207 NW AWBREY RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011218",
            "telephone_number": "541-389-1191",
            "fax_number": "541-389-1972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2207 NW AWBREY RD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977011218",
            "telephone_number": "541-389-1191",
            "fax_number": "541-389-1972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL JOSEPH BOURQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "BOURQUE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-389-1191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C,"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "3196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Daniels Chiropractic Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Suzanne Dames, RN
• Mary Kathleen Dammarell, RN
• Stewart Dandorf
• Christen Danford
• Daniel a Radatti DDS LLC
• Daniel P. Bitner, DMD, PC
• Irving Daniel
• Danielle Couture Counseling LLC
• David Daniels
• Jerry H. Daniels, D.C.

• Chiropractor in Bend, OR
• Providers in Bend, OR by specialty
• Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.