Organization Active NPI

Mazzaferro Chiropractic LLC

  • Chiropractor
  • Redmond, OR
National Provider Identifier
1922698414
Registry record updated Mar 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
MAZZAFERRO CHIROPRACTIC LLC
Doing business as
Redmond Wellness and Chiropractic
Practice address
1655 SW Highland Ave Ste 6
Redmond, OR 97756-2558
Phone
(541) 923-2019
NPI assigned
Jan 19, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2021

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

Authorized official

Name
Dr. Adamo Mazzaferro, DCNPI 1912494048
Title
Owner
Phone
(707) 721-7018

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1655 SW Highland Ave Ste 6
Redmond, OR 97756-2558

Mailing address

1655 SW Highland Ave Ste 6
Redmond, OR 97756-2558
Phone (541) 923-2019

Other names 1

  • Redmond Wellness and Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210311002529 OR Part B Supplier - Clinic/Group Practice 8628484847 Receives reassigned benefits from 1 practitioner
Practice locations: Redmond, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615420800000",
    "number": "1922698414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 SW HIGHLAND AVE STE 6",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562558",
            "telephone_number": "541-923-2019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 SW HIGHLAND AVE STE 6",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977562558",
            "telephone_number": "541-923-2019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAZZAFERRO CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A",
        "authorized_official_last_name": "MAZZAFERRO",
        "authorized_official_first_name": "ADAMO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-721-7018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Redmond Wellness and Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Redmond Wellness and Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.