Active NPI
Plasker Chiropractic and Functional Neurology LLC
- Clinic/Center
- Bend, OR
National Provider Identifier
1952811408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 5745
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.