Organization Active NPI

Dolphin Chiropractic & Orthopedic Physical Therapy Center, LLC

  • Chiropractor
  • Medford, OR
National Provider Identifier
1962606178
Registry record updated Dec 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
273291 Issued in OR
Legal business name
DOLPHIN CHIROPRACTIC & ORTHOPEDIC PHYSICAL THERAPY CENTER, LLC
Practice address
1314 Center Dr
Suite 14
Medford, OR 97501-7908
Phone
(541) 857-2678
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2010

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

Authorized official

Name
Miven B Donato
Title
Owner
Phone
(541) 664-5151

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 273291 OR Primary
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X 4197 OR

Addresses

Primary practice location

1314 Center Dr
Suite 14
Medford, OR 97501-7908

Mailing address

1208 Beall LN
Central Point, OR 97502-1573
Phone (541) 664-5151

National Provider Directory

National Provider Directory

Locations

960 N Phoenix Rd
Ste 104
Medford, OR 97504
Phone (541) 301-6452

2596 E Barnett Rd
Ste B
Medford, OR 97504
Phone (541) 727-1996

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1962606178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 BEALL LN",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975021573",
            "telephone_number": "541-664-5151",
            "fax_number": "541-664-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 CENTER DR",
            "address_2": "SUITE 14",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017908",
            "telephone_number": "541-857-2678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLPHIN CHIROPRACTIC & ORTHOPEDIC PHYSICAL THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "DONATO",
        "authorized_official_first_name": "MIVEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-664-5151"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "OR",
            "license": "273291",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "4197",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.