Organization Active NPI

Center for Life Chiropractic LLC

  • Chiropractor
  • Bend, OR
National Provider Identifier
1942489224
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CENTER FOR LIFE CHIROPRACTIC LLC
Practice address
1004 NW Milwaukee Ave
Ste 200
Bend, OR 97701-2243
Phone
(541) 312-9794
Fax
(541) 312-9795
NPI assigned
Nov 2, 2007
Last updated
Nov 14, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Authorized official

Name
Ms. Lauren Godwin
Title
Office Manager
Phone
(541) 312-9794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1004 NW Milwaukee Ave
Ste 200
Bend, OR 97701-2243

Mailing address

1004 NW Milwaukee Ave
Ste 200
Bend, OR 97701-2243
Phone (541) 312-9794

National Provider Directory

National Provider Directory

Locations

265 NW Franklin Ave
Ste 203
Bend, OR 97703
Phone (541) 312-9794

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": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1942489224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 NW MILWAUKEE AVE",
            "address_2": "STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977012243",
            "telephone_number": "541-312-9794",
            "fax_number": "541-312-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 NW MILWAUKEE AVE",
            "address_2": "STE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977012243",
            "telephone_number": "541-312-9794",
            "fax_number": "541-312-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR LIFE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "GODWIN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "541-312-9794",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.