Organization Active NPI

Plasker Chiropractic and Functional Neurology LLC

  • Clinic/Center
  • Bend, OR
National Provider Identifier
1952811408
Registry record updated Jan 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
5745 Issued in OR
Legal business name
PLASKER CHIROPRACTIC AND FUNCTIONAL NEUROLOGY LLC
Practice address
155 SW Century Dr Ste 104
Bend, OR 97702-1657
Phone
(458) 206-3461
Fax
(458) 206-3461
NPI assigned
Oct 10, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2018

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

Authorized official

Name
Jacob Plasker, DC
Title
Chiropractor
Phone
(404) 909-5764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 5745 OR Primary

Addresses

Primary practice location

155 SW Century Dr Ste 104
Bend, OR 97702-1657

Mailing address

61557 Aaron Way Apt 3301
Bend, OR 97702-8803
Phone (404) 909-5764

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1507593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516147200000",
    "number": "1952811408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61557 AARON WAY APT 3301",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977028803",
            "telephone_number": "404-909-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 SW CENTURY DR STE 104",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977021657",
            "telephone_number": "458-206-3461",
            "fax_number": "458-206-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASKER CHIROPRACTIC AND FUNCTIONAL NEUROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-10",
        "last_updated": "2018-01-17",
        "status": "A",
        "authorized_official_last_name": "PLASKER",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "404-909-5764",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OR",
            "license": "5745",
            "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 Jan 17, 2018; 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.