NPIMap

Organization Active NPI

Rose City Chiropractic Clinic Inc

  • Chiropractor
  • Portland, OR
National Provider Identifier
1932356557
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
1300 Issued in OR
Legal business name
ROSE CITY CHIROPRACTIC CLINIC INC
Practice address
12508 NE Halsey St
Portland, OR 97230-1929
Phone
(503) 252-2533
Fax
(503) 252-2532
NPI assigned
Aug 26, 2008
Last updated
Aug 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Authorized official

Name
Dr. Jerome M Fladoos, D.C.NPI 1740249952
Title
Chiropractor
Phone
(503) 252-2533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 1300 OR Primary

Addresses

Primary practice location

12508 NE Halsey St
Portland, OR 97230-1929

Mailing address

12508 NE Halsey St
Portland, OR 97230
Phone (503) 252-2533

Other names 1

  • Jerome M. Fladoos DC Other name

National Provider Directory

National Provider Directory

Locations

12508 NE Halsey St
Portland, OR 97230
Phone (503) 252-2533

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1932356557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12508 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97230",
            "telephone_number": "503-252-2533",
            "fax_number": "503-252-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12508 NE HALSEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972301929",
            "telephone_number": "503-252-2533",
            "fax_number": "503-252-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE CITY CHIROPRACTIC CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "FLADOOS",
        "authorized_official_first_name": "JEROME",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "503-252-2533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "1300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jerome M. Fladoos DC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.